Ms Lilly H Park, NP in Chicago Ridge, IL - Medicare Nurse Practitioner

Ms Lilly H Park, NP is a medicare enrolled "Nurse Practitioner" in Chicago Ridge, Illinois. Her current practice location is 10604 Southwest Hwy Ste 200, Chicago Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 424-9710.

Ms Lilly H Park is licensed to practice in Illinois (license number 209027841) 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 1346929601.

Contact Information

	Ms Lilly H Park, NP
	10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415-2717
	(708) 424-9710
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lilly H Park
Gender	Female
Speciality	Nurse Practitioner
Location	10604 Southwest Hwy Ste 200, Chicago Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346929601
Provider Enumeration Date: 07/13/2023
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7911361316
Enrollment ID: I20230919002163

Medical Identifiers

Medical identifiers for Ms Lilly H Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346929601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209027841 (Illinois)	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. Ms Lilly H Park allows following entities to bill medicare on her behalf.

Entity Name	Affiliated Oncologists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225314362 PECOS PAC ID: 2365606563 Enrollment ID: O20120620000456

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. Ms Lilly H 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
Ms Lilly H Park, NP 16127 Bent Grass Dr, Lockport, IL 60441-4615 Ph: (708) 253-5020	Ms Lilly H Park, NP 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415-2717 Ph: (708) 424-9710

Reviews and Comments

Nurse Practitioner Nurses in Chicago Ridge, IL

Shahira Halim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Kayla Danielle Richert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10604 Southwest Hwy Ste 107, Chicago Ridge, IL 60415 Phone: 708-422-0636
Sarah Folino, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Regina Tsang, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415 Phone: 708-346-9533 Fax: 708-499-4312
Camlinh Roska, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10604 Sw Hwy Suite 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Charmaine Pelayo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-422-0636

Ms Lilly H Park, NP - Medicare Nurse Practitioner in Chicago Ridge, IL