Richard Parke, in Santa Rosa, CA - Medicare Nurse Practitioner

Richard Parke, is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. His current practice location is 30 Mark West Springs Rd, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 576-4000.

Richard Parke is licensed to practice in California (license number 95012367) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588280374.

Contact Information

	Richard Parke,
	30 Mark West Springs Rd, Santa Rosa, CA 95403-1436
	(707) 576-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard Parke
Gender	Male
Speciality	Nurse Practitioner - Family
Location	30 Mark West Springs Rd, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588280374
Provider Enumeration Date: 06/17/2020
Last Update Date: 06/17/2020

Medicare PECOS Information:

PECOS PAC ID: 5597177972
Enrollment ID: I20201208002090

Medical Identifiers

Medical identifiers for Richard Parke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588280374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012367 (California)	Primary

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. Richard Parke allows following entities to bill medicare on his behalf.

Entity Name	San Francisco Emergency Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130

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. Richard Parke 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
Richard Parke, 1555 Los Olivos Rd, Santa Rosa, CA 95404-2010 Ph: (317) 985-9796	Richard Parke, 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 Ph: (707) 576-4000

Reviews and Comments

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Richard Parke, - Medicare Nurse Practitioner in Santa Rosa, CA