Bobbi Park, FNP-C - Medicare Nurse Practitioner in Moline, IL

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Bobbi Park, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Moline, Illinois. Her current practice location is 106 19th Ave Ste 103, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 779-7050.

Bobbi Park is licensed to practice in Iowa (license number A121789) 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 1194179705.

Contact Information

Bobbi Park, FNP-C
106 19th Ave Ste 103,
Moline, IL 61265-3700
(309) 779-7050
Not Available

Map and Direction




Provider's Profile

Full NameBobbi Park
GenderFemale
SpecialityNurse Practitioner - Family
Location106 19th Ave Ste 103, Moline, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194179705
  • Provider Enumeration Date: 04/20/2016
  • Last Update Date: 04/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628367745
  • Enrollment ID: I20160512002069

Medical Identifiers

Medical identifiers for Bobbi Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194179705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A121789 (Iowa)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. Bobbi Park allows following entities to bill medicare on her behalf.
Entity NameDigestive Disease Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891077160
PECOS PAC ID: 7618142183
Enrollment ID: O20130419000366
Entity NameAmana Medical Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306235072
PECOS PAC ID: 8224340567
Enrollment ID: O20150630000541

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. Bobbi 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 AddressPractice Location Address
Bobbi Park, FNP-C
106 19th Ave Ste 103,
Moline, IL 61265-3700

Ph: (309) 779-7050		Bobbi Park, FNP-C
106 19th Ave Ste 103,
Moline, IL 61265-3700

Ph: (309) 779-7050

Reviews and Comments


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Cara R Brown, APRN
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Ms. Kenisha Francisco, APRN
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Practice Location: 4600 3rd St, Moline, IL 61265
Phone: 309-779-3000    Fax: 309-779-2167

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.