Lisa Yoensil Yoon Park, FNP-C in Chino Hills, CA

Lisa Yoensil Yoon Park, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chino Hills, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 15855 Pomona Rincon Rd, Chino Hills, California. You can reach out to her office (for appointments etc.) via phone at (909) 264-8666.

Lisa Yoensil Yoon Park is licensed to practice in California (license number 95015462) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447866132.

Contact Information

	Lisa Yoensil Yoon Park, FNP-C
	15855 Pomona Rincon Rd, Chino Hills, CA 91709-5572
	(909) 264-8666
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Yoensil Yoon Park
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	15855 Pomona Rincon Rd, Chino Hills, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Yoensil Yoon Park graduated from nursing school in 2020

NPI Data:

NPI Number: 1447866132
Provider Enumeration Date: 09/18/2020
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5698152338
Enrollment ID: I20220518000737

Medical Identifiers

Medical identifiers for Lisa Yoensil Yoon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447866132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015462 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Lisa Yoensil Yoon Park allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Lisa Yoensil Yoon 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
Lisa Yoensil Yoon Park, FNP-C 15855 Pomona Rincon Rd, Chino Hills, CA 91709-5572 Ph: (909) 264-8666	Lisa Yoensil Yoon Park, FNP-C 15855 Pomona Rincon Rd, Chino Hills, CA 91709-5572 Ph: (909) 264-8666

Reviews and Comments

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Lisa Yoensil Yoon Park, FNP-C - Medicare Nurse Practitioner in Chino Hills, CA