Jeffrey D Park, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phila, PA

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Jeffrey D Park, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phila, Pennsylvania. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Huntingdon Valley Anesthesia Associates and his current practice location is 2601 Holme Ave, Phila, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 335-6200.

Jeffrey D Park is licensed to practice in Pennsylvania (license number RN521643L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316941164.

Contact Information

Jeffrey D Park, CRNA
2601 Holme Ave,
Phila, PA 19152-2007
(215) 335-6200
Not Available

Map and Direction




Provider's Profile

Full NameJeffrey D Park
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location2601 Holme Ave, Phila, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey D Park graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1316941164
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 11/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3779545314
  • Enrollment ID: I20041027000466

Medical Identifiers

Medical identifiers for Jeffrey D Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316941164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN521643L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Redeemer Hospital And Medical CenterMeadowbrook, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Huntingdon Valley Anesthesia Associates640674264229

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. Jeffrey D Park allows following entities to bill medicare on his behalf.
Entity NameHuntingdon Valley Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710933114
PECOS PAC ID: 6406742642
Enrollment ID: O20040225000439
Entity NamePremier Anesthesia Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831493865
PECOS PAC ID: 2062696909
Enrollment ID: O20110418000548
Entity NameNorthstar Anesthesia Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700218989
PECOS PAC ID: 5092941161
Enrollment ID: O20131119001358

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. Jeffrey D 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
Jeffrey D Park, CRNA
2601 Holme Ave,
Phila, PA 19152-2007

Ph: (215) 407-4848		Jeffrey D Park, CRNA
2601 Holme Ave,
Phila, PA 19152-2007

Ph: (215) 335-6200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Phila, PA

Lisa Gonzales, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 230 N Broad St, Phila, PA 19102
Phone: 215-762-7922    Fax: 215-762-8656
Nicole Sherae Smith, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 Cottman Ave, Phila, PA 19111
Phone: 267-990-1028    
Eric Filippo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 230 N Broad St, Phila, PA 19102
Phone: 215-762-7922    Fax: 215-762-8656

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.