Kristin A Park, DNP in Covington, WA - Medicare Nurse Practitioner

Kristin A Park, DNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Covington, Washington. Her current practice location is 17700 Se 272nd St # 400, Covington, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 372-6512.

Kristin A Park is licensed to practice in Washington (license number AP60491879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558763516.

Contact Information

	Kristin A Park, DNP
	17700 Se 272nd St # 400, Covington, WA 98042-4951
	(253) 372-6512
	(253) 372-6527

Map and Direction

Provider's Profile

Full Name	Kristin A Park
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	17700 Se 272nd St # 400, Covington, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558763516
Provider Enumeration Date: 09/22/2014
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5496078909
Enrollment ID: I20150107002305

Medical Identifiers

Medical identifiers for Kristin A Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558763516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	814227 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60491879 (Washington)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP60491879 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin A Park allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin A Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristin A Park, DNP 10863 Se 218th Pl, Kent, WA 98031-1373 Ph: (253) 307-9681	Kristin A Park, DNP 17700 Se 272nd St # 400, Covington, WA 98042-4951 Ph: (253) 372-6512

Reviews and Comments

Nurse Practitioner Nurses in Covington, WA

Elisabeth B Golden, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27500 168th Pl Se, Covington, WA 98042 Phone: 425-690-3430 Fax: 425-690-9430
Tatyana Sidor, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Se 272nd St, Ste 100, Covington, WA 98042 Phone: 253-395-1971 Fax: 253-395-1983
Michelle Noble Bowden, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St, Suite 360, Covington, WA 98042 Phone: 253-372-7128
Erin Michelle Wattles, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-7155
Elizabeth A Hadland, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-7155
Karan L Rondeau, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-7128
Mrs. Evafaye Dee Hiatt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16720 Se 271st St, Suite 202, Covington, WA 98042 Phone: 253-631-2380 Fax: 425-649-2057

Kristin A Park, DNP - Medicare Nurse Practitioner in Covington, WA