Olivia Park, MD in Kenosha, WI - Medicare Physical Medicine And Rehabilitation

Olivia Park, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Kenosha, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2011 and has 15 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Post-acute Physicians Of Wisconsin Sc and her current practice location is 6308 8th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 771-0073.

Olivia Park is licensed to practice in Wisconsin (license number 72450-20) 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 1669761748.

Contact Information

	Olivia Park, MD
	6308 8th Ave, Kenosha, WI 53143-5031
	(262) 771-0073
	Not Available

Map and Direction

Physician's Profile

Full Name	Olivia Park
Gender	Female
Speciality	Physical Medicine And Rehabilitation
Experience	15 Years
Location	6308 8th Ave, Kenosha, Wisconsin
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:

Olivia Park attended and graduated from Medical College Of Wisconsin in 2011

NPI Data:

NPI Number: 1669761748
Provider Enumeration Date: 03/29/2011
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 7810287786
Enrollment ID: I20200110000146

Medical Identifiers

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

Identifier	Type	State	Issuer
1669761748	NPI	-	NPPES
100096196	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	01076676A (Indiana)	Secondary
2081P0004X	Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine	72450-20 (Wisconsin)	Secondary
208100000X	Physical Medicine & Rehabilitation	72450-20 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Post-acute Physicians Of Wisconsin Sc	4789024431	3

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. Olivia Park allows following entities to bill medicare on her behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Entity Name	Post-acute Physicians Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295593218 PECOS PAC ID: 4789024431 Enrollment ID: O20240429003454

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. Olivia 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
Olivia Park, MD 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428	Olivia Park, MD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 771-0073

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Kenosha, WI

Dr. Gerald Joseph Nora, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 872-231-3162
Hardik A Vashi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Anders Hendricks, DPT, ATC Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5708 75th St Ste B, Kenosha, WI 53142 Phone: 262-697-9135
Bridget Grimes, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8560 26th Ave, Kenosha, WI 53143 Phone: 920-207-7904
Claire Stanners, MAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2001 Alford Park Dr, Kenosha, WI 53140 Phone: 173-478-7252

Olivia Park, MD - Medicare Physical Medicine And Rehabilitation in Kenosha, WI