Stephanie M Park, NP in Ann Arbor, MI - Medicare Nurse Practitioner

Stephanie M Park, NP is a medicare enrolled "Nurse Practitioner" in Ann Arbor, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Queens Medical Center and her current practice location is 1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (888) 287-1082.

Stephanie M Park is licensed to practice in Michigan (license number 4704300247) 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 1508387812.

Contact Information

	Stephanie M Park, NP
	1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864
	(888) 287-1082
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie M Park
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
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:

Stephanie M Park graduated from nursing school in 2017

NPI Data:

NPI Number: 1508387812
Provider Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052681822
Enrollment ID: I20190411000136

Medical Identifiers

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

Identifier	Type	State	Issuer
1508387812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704300247 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704300247 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Queens Medical Center	Honolulu, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Queens Medical Center	3476454067	176

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. Stephanie M Park allows following entities to bill medicare on her behalf.

Entity Name	The Queens Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366

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. Stephanie M 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
Stephanie M Park, NP 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Stephanie M Park, NP 1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 Ph: (888) 287-1082

Reviews and Comments

Nurse Practitioner Nurses in Ann Arbor, MI

Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082

Stephanie M Park, NP - Medicare Nurse Practitioner in Ann Arbor, MI