Dr Gloria Park, APRN/RN - Medicare Nurse Practitioner in Clay Center, KS

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Dr Gloria Park, APRN/RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clay Center, Kansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pawnee Mental Health Service Inc and her current practice location is 609 Liberty St, Clay Center, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 632-2181.

Dr Gloria Park is licensed to practice in Kansas (license number 79172) 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 1336770205.

Contact Information

Dr Gloria Park, APRN/RN
609 Liberty St,
Clay Center, KS 67432-1564
(785) 632-2181
Not Available

Map and Direction




Provider's Profile

Full NameDr Gloria Park
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location609 Liberty St, Clay Center, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gloria Park graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1336770205
  • Provider Enumeration Date: 01/30/2020
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547684318
  • Enrollment ID: I20200727001985

Medical Identifiers

Medical identifiers for Dr Gloria Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336770205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 116035 (Kansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 79172 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pawnee Mental Health Service Inc387040682026

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. Dr Gloria Park allows following entities to bill medicare on her behalf.
Entity NamePawnee Mental Health Service Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275580524
PECOS PAC ID: 3870406820
Enrollment ID: O20031106000608
Entity NameClay County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134163389
PECOS PAC ID: 6901959436
Enrollment ID: O20091020000184

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. Dr Gloria 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
Dr Gloria Park, APRN/RN
609 Liberty St,
Clay Center, KS 67432-1564

Ph: (785) 632-2181		Dr Gloria Park, APRN/RN
609 Liberty St,
Clay Center, KS 67432-1564

Ph: (785) 632-2181

Reviews and Comments


Nurse Practitioner Nurses in Clay Center, KS

Heather Marie Tremblay, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 617 Liberty St, Clay Center, KS 67432
Phone: 785-632-2144    
Tricia Aubrey Cunningham,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 617 Liberty St, Clay Center, KS 67432
Phone: 785-632-2144    
Angela Lanae Riesen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 617 Liberty St, Clay Center, KS 67432
Phone: 785-632-2144    
Mary Kay Cummins, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 Liberty St, Clay Center, KS 67432
Phone: 785-632-2181    Fax: 785-632-2309
Austin Keith Gydesen, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 Liberty St, Clay Center, KS 67432
Phone: 785-632-2181    Fax: 785-632-2309
Audra Walter, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 Liberty St, Clay Center, KS 67432
Phone: 785-632-2181    Fax: 785-632-2309
Emily Elizabeth Ebert, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2204 10th Rd, Clay Center, KS 67432
Phone: 785-447-0620    

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.