Lori A Park, MS,LCSW is a medicare enrolled "Social Worker - Clinical" provider in Globe, Arizona. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Bridges Inc and her current practice location is
415 W Baseline Spur Rd, Globe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 402-9297.
Lori A Park is licensed to practice in Arizona (license number LCSW-12565) 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 1053561431.
Healthcare Provider's Profile
| Full Name | Lori A Park |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 415 W Baseline Spur Rd, Globe, Arizona |
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| 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:
- Lori A Park graduated from medical school in 2004
NPI Data:
- NPI Number: 1053561431
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 09/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 2365595568
- Enrollment ID: I20090805000827
Medical Identifiers
Medical identifiers for Lori A Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053561431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | LCSW-12565 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Community Bridges Inc | 2062699721 | 88 |
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. Lori A Park allows following entities to bill medicare on her behalf.
| Entity Name | Horizon Health And Wellness, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659308989 PECOS PAC ID: 6406759711 Enrollment ID: O20040202000450 |
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| Entity Name | Community Bridges Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
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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. Lori A 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 |
Lori A Park, MS,LCSW 415 W Baseline Spur Rd, Globe, AZ 85501 Ph: (928) 402-9297 | Lori A Park, MS,LCSW 415 W Baseline Spur Rd, Globe, AZ 85501 Ph: (928) 402-9297 |
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