Mie Hea Park, in Englewood, NJ - Medicare Nurse Practitioner

Mie Hea Park, is a medicare enrolled "Nurse Practitioner" in Englewood, New Jersey. Her current practice location is 475 Grand Ave, 2nd Floor, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 541-1111.

Mie Hea Park is licensed to practice in Pennsylvania (license number SP019778) 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 1902294598.

Contact Information

	Mie Hea Park,
	475 Grand Ave, 2nd Floor, Englewood, NJ 07631-4965
	(201) 541-1111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mie Hea Park
Gender	Female
Speciality	Nurse Practitioner
Location	475 Grand Ave, Englewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902294598
Provider Enumeration Date: 01/05/2015
Last Update Date: 02/08/2019

Medicare PECOS Information:

PECOS PAC ID: 4587989447
Enrollment ID: I20190327003275

Medical Identifiers

Medical identifiers for Mie Hea Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902294598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	26NJ00544400 (New Jersey)	Secondary
363L00000X	Nurse Practitioner	SP019778 (Pennsylvania)	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. Mie Hea Park allows following entities to bill medicare on her behalf.

Entity Name	Primary Homecare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629023593 PECOS PAC ID: 3274437462 Enrollment ID: O20031120000241

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. Mie Hea 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
Mie Hea Park, 2290 Galloway Rd Apt B9, Bensalem, PA 19020-2956 Ph: () -	Mie Hea Park, 475 Grand Ave, 2nd Floor, Englewood, NJ 07631-4965 Ph: (201) 541-1111

Reviews and Comments

Nurse Practitioner Nurses in Englewood, NJ

Michelle May Roe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Oakland St, Englewood, NJ 07631 Phone: 917-753-8013
Min Hwang, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Grand Ave Ste 203, Englewood, NJ 07631 Phone: 201-944-3115 Fax: 866-278-0484
Dr. Jaime Luis Betancourt, DNP, MPH, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St Bldg 5th, Englewood, NJ 07631 Phone: 201-568-5250 Fax: 201-568-5358
Kristofferson M Pineda, ANP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3908
Miss Eun Mi Joo, RN,FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3408 Windsor Park Ct, Englewood, NJ 07631 Phone: 201-212-3559
Caitlin Colleen Flynn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Engle St Fl 4, Englewood, NJ 07631 Phone: 201-568-5250
Debra Tawil, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3202

Mie Hea Park, - Medicare Nurse Practitioner in Englewood, NJ