Mrs Tammera L Park, PA-C in Denver, CO - Medicare Physician Assistant

Mrs Tammera L Park, PA-C is a medicare enrolled "Physician Assistant" in Denver, Colorado. Her current practice location is 1690 Meade St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 439-2313.

Mrs Tammera L Park is licensed to practice in Colorado (license number 2054) 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 1598853129.

Contact Information

	Mrs Tammera L Park, PA-C
	1690 Meade St, Denver, CO 80204-1552
	(970) 439-2313
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tammera L Park
Gender	Female
Speciality	Physician Assistant
Location	1690 Meade St, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598853129
Provider Enumeration Date: 10/10/2006
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9931134665
Enrollment ID: I20150707001449

Medical Identifiers

Medical identifiers for Mrs Tammera L Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598853129	NPI	-	NPPES
04020954	Medicaid	CO
261227YLQP	Other	CO	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2054 (Colorado)	Primary

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. Mrs Tammera L 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
Mrs Tammera L Park, PA-C Po Box 896199, Charlotte, NC 28289-6199 Ph: (833) 936-1364	Mrs Tammera L Park, PA-C 1690 Meade St, Denver, CO 80204-1552 Ph: (970) 439-2313

Reviews and Comments

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Mrs Tammera L Park, PA-C - Medicare Physician Assistant in Denver, CO