Nicole Luanne Park, NP in Palo Alto, CA - Medicare Nurse Practitioner

Nicole Luanne Park, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Palo Alto, California. Her current practice location is 795 El Camino Real, Clark Building, Level 3, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 321-4121.

Nicole Luanne Park is licensed to practice in California (license number 22103) 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 1467708198.

Contact Information

	Nicole Luanne Park, NP
	795 El Camino Real, Clark Building, Level 3, Palo Alto, CA 94301-2302
	(650) 321-4121
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Luanne Park
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	795 El Camino Real, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467708198
Provider Enumeration Date: 07/31/2012
Last Update Date: 10/12/2016

Medicare PECOS Information:

PECOS PAC ID: 4385875368
Enrollment ID: I20140317001449

Medical Identifiers

Medical identifiers for Nicole Luanne Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467708198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	707298 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	22103 (California)	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. Nicole Luanne Park allows following entities to bill medicare on her behalf.

Entity Name	Hasan Badday Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972914133 PECOS PAC ID: 9133349574 Enrollment ID: O20141006002465

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. Nicole Luanne 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
Nicole Luanne Park, NP 2350 W El Camino Real, 2nd Floor, Mountain View, CA 94040-6203 Ph: () -	Nicole Luanne Park, NP 795 El Camino Real, Clark Building, Level 3, Palo Alto, CA 94301-2302 Ph: (650) 321-4121

Reviews and Comments

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Nicole Luanne Park, NP - Medicare Nurse Practitioner in Palo Alto, CA