Susan S Park, CRNP - Medicare Nurse Practitioner in West Reading, PA

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Susan S Park, CRNP is a medicare enrolled "Registered Nurse" in West Reading, Pennsylvania. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Penn-medical Group and her current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 628-4879.

Susan S Park is licensed to practice in Pennsylvania (license number SP019676) 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 1962979989.

Contact Information

Susan S Park, CRNP
420 S 5th Ave,
West Reading, PA 19611-2143
(484) 628-4879
Not Available

Map and Direction




Provider's Profile

Full NameSusan S Park
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location420 S 5th Ave, West Reading, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan S Park graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1962979989
  • Provider Enumeration Date: 10/29/2018
  • Last Update Date: 12/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446596621
  • Enrollment ID: I20190109000072

Medical Identifiers

Medical identifiers for Susan S Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962979989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN651712 (Pennsylvania)Secondary
163W00000XRegistered Nurse SP019676 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Penn-medical Group62047309553051

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. Susan S Park allows following entities to bill medicare on her behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NameChestnut Hill Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508936071
PECOS PAC ID: 2860492279
Enrollment ID: O20070109000509
Entity NamePottstown Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649341934
PECOS PAC ID: 6406857184
Enrollment ID: O20070123000573
Entity NameWest Grove Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790856078
PECOS PAC ID: 4789685033
Enrollment ID: O20070129000812
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003923707
PECOS PAC ID: 6204730955
Enrollment ID: O20141216000111

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. Susan 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 AddressPractice Location Address
Susan S Park, CRNP
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-0799		Susan S Park, CRNP
420 S 5th Ave,
West Reading, PA 19611-2143

Ph: (484) 628-4879

Reviews and Comments


Registered Nurse Nurses in West Reading, PA

Traci Macchiaverna, CRNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8843    
Gregory Dugan, RN
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, West Reading, PA 19611
Phone: 484-628-0580    
Victoria Josko, CRNP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8843    
Rachel P. Lengle, CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 6 Spruce St, West Reading, PA 19611
Phone: 610-988-8269    
Mrs. Roxana M. Van Ostran, C.R.N.P.
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 301 S. Seventh Avenue Suite 210, West Reading, PA 19611
Phone: 484-628-4656    Fax: 484-628-4657
Rosa Dominicis, CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8269    Fax: 484-628-5163
Karen Shaner, CRNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 301 S 7th Ave, Suite 2020, West Reading, PA 19611
Phone: 610-375-6565    Fax: 610-375-2065

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.