Ms Lisa S Park, NP in Los Angeles, CA - Medicare Nurse Practitioner

Ms Lisa S Park, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Regents Of The University Of California and her current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 825-9111.

Ms Lisa S Park is licensed to practice in California (license number 95008110) 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 1225549082.

Contact Information

	Ms Lisa S Park, NP
	757 Westwood Plz, Los Angeles, CA 90095-8358
	(310) 825-9111
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lisa S Park
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	757 Westwood Plz, Los Angeles, 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:

Ms Lisa S Park graduated from nursing school in 2005

NPI Data:

NPI Number: 1225549082
Provider Enumeration Date: 10/19/2017
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1254695901
Enrollment ID: I20180503001590

Medical Identifiers

Medical identifiers for Ms Lisa S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225549082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209011661 (Illinois)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95008110 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355249491	44

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

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538125844 PECOS PAC ID: 1355249491 Enrollment ID: O20031226000291

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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 Lisa S 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 Lisa S Park, NP 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Ms Lisa S Park, NP 757 Westwood Plz, Los Angeles, CA 90095-8358 Ph: (310) 825-9111

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Ms Lisa S Park, NP - Medicare Nurse Practitioner in Los Angeles, CA