Woo Park, CRNA in Elkhart, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Woo Park, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ams Northern Indiana Llc, Clinical Colleagues Inc and his current practice location is 500 N Nappanee St, Suite 11b, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 522-9922.

Woo Park is licensed to practice in Indiana (license number 28159121) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1619929965.

Contact Information

	Woo Park, CRNA
	500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503
	(574) 522-9922
	Not Available

Map and Direction

Provider's Profile

Full Name	Woo Park
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	500 N Nappanee St, Elkhart, Indiana
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Woo Park graduated from nursing school in 1999

NPI Data:

NPI Number: 1619929965
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416847330
Enrollment ID: I20040316000875

Medical Identifiers

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

Identifier	Type	State	Issuer
1619929965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28159121 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Huntington Hospital	Huntington, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ams Northern Indiana Llc	8022444306	14
Clinical Colleagues Inc	8729011333	106

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. Woo Park allows following entities to bill medicare on his behalf.

Entity Name	Great Lakes Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20181101000420

Entity Name	Ams Northern Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244

Entity Name	Iceland Anesthesia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860

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. Woo 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
Woo Park, CRNA 541 Otis Bowen Dr, Munster, IN 46321-4158 Ph: (219) 934-5300	Woo Park, CRNA 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 Ph: (574) 522-9922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463

Woo Park, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN