Amber Nicole Parks, APRN, FNP in Raleigh, NC - Medicare Nurse Practitioner

Amber Nicole Parks, APRN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Raleigh, North Carolina. Her current practice location is 13304 Leesville Church Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 845-5276.

Amber Nicole Parks is licensed to practice in North Carolina (license number 5013362) 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 1578172169.

Contact Information

	Amber Nicole Parks, APRN, FNP
	13304 Leesville Church Rd, Raleigh, NC 27617-5206
	(919) 845-5276
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Nicole Parks
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13304 Leesville Church Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578172169
Provider Enumeration Date: 07/29/2020
Last Update Date: 01/23/2022

Medicare PECOS Information:

PECOS PAC ID: 5294155016
Enrollment ID: I20201016001618

Medical Identifiers

Medical identifiers for Amber Nicole Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578172169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5013362 (North Carolina)	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. Amber Nicole Parks allows following entities to bill medicare on her behalf.

Entity Name	Chma Of Nc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982364469 PECOS PAC ID: 5092108605 Enrollment ID: O20220203000311

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. Amber Nicole Parks 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
Amber Nicole Parks, APRN, FNP 115 Carolina Ash Ln, Mooresville, NC 28117-9549 Ph: (843) 450-7048	Amber Nicole Parks, APRN, FNP 13304 Leesville Church Rd, Raleigh, NC 27617-5206 Ph: (919) 845-5276

Reviews and Comments

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Amber Nicole Parks, APRN, FNP - Medicare Nurse Practitioner in Raleigh, NC