Rachael Park, PNP-PC in Raleigh, NC - Medicare Nurse Practitioner

Rachael Park, PNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Raleigh, North Carolina. Her current practice location is 10 Sunnybrook Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 250-4570.

Rachael Park is licensed to practice in North Carolina (license number 5014945) 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 1952078826.

Contact Information

	Rachael Park, PNP-PC
	10 Sunnybrook Rd, Raleigh, NC 27610-1861
	(919) 250-4570
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachael Park
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	10 Sunnybrook Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952078826
Provider Enumeration Date: 08/27/2021
Last Update Date: 08/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0345699260
Enrollment ID: I20231218000633

Medical Identifiers

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

Identifier	Type	State	Issuer
1952078826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5014945 (North Carolina)	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. Rachael Park allows following entities to bill medicare on her behalf.

Entity Name	County Of Wake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295761617 PECOS PAC ID: 6305759952 Enrollment ID: O20031110000389

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. Rachael 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
Rachael Park, PNP-PC 10 Sunnybrook Rd, Raleigh, NC 27610-1861 Ph: (919) 250-4570	Rachael Park, PNP-PC 10 Sunnybrook Rd, Raleigh, NC 27610-1861 Ph: (919) 250-4570

Reviews and Comments

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Rachael Park, PNP-PC - Medicare Nurse Practitioner in Raleigh, NC