Shelley J Park, NP in Redlands, CA - Medicare Nurse Practitioner

Shelley J Park, NP is a medicare enrolled "Nurse Practitioner" in Redlands, 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 Beaver Medical Group Pc and her current practice location is 2 W Fern Ave, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 793-3311.

Shelley J Park is licensed to practice in California (license number 14554) 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 1386683480.

Contact Information

	Shelley J Park, NP
	2 W Fern Ave, Redlands, CA 92373-5916
	(909) 793-3311
	(909) 796-4158

Map and Direction

Provider's Profile

Full Name	Shelley J Park
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	2 W Fern Ave, Redlands, 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:

Shelley J Park graduated from nursing school in 2005

NPI Data:

NPI Number: 1386683480
Provider Enumeration Date: 06/05/2006
Last Update Date: 07/19/2016

Medicare PECOS Information:

PECOS PAC ID: 7810928181
Enrollment ID: I20050825001070

Medical Identifiers

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

Identifier	Type	State	Issuer
1386683480	NPI	-	NPPES
ZZZ08162Z	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14554 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaver Medical Group Pc	0547164295	259

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. Shelley J Park allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

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. Shelley J 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
Shelley J Park, NP Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Shelley J Park, NP 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311

Reviews and Comments

Nurse Practitioner Nurses in Redlands, CA

John Adeniji, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026
Cynthia L Pacheco, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Mrs. Lisa C Anderson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158
Natasha Mirella Ramirez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6600
Mark Alan Hiday, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500
Sunah Song, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd # 117, Redlands, CA 92373 Phone: 909-894-7677
Julia Sporka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9980 Alabama St # F2, Redlands, CA 92374 Phone: 909-335-0980

Shelley J Park, NP - Medicare Nurse Practitioner in Redlands, CA