Elizabeth Park, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Madison, Wisconsin. Her current practice location is
600 Highland Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 263-6400.
Elizabeth Park is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417650839.
Physician's Profile
| Full Name | Elizabeth Park |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 600 Highland Ave, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417650839
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 06/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971961798
- Enrollment ID: I20230626002602
Medical Identifiers
Medical identifiers for Elizabeth Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417650839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 82193 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Elizabeth 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 |
Elizabeth Park, DO 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6400 | Elizabeth Park, DO 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6400 |
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