Jerrica Park, PA-C - Medicare Community/Behavioral Health in Flagstaff, AZ

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Jerrica Park, PA-C is a medicare enrolled "Community/behavioral Health" in Flagstaff, Arizona. Her current practice location is 1120 W University Ave Ste 101, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 522-1300.

Jerrica 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 1245821669.

Contact Information

Jerrica Park, PA-C
1120 W University Ave Ste 101,
Flagstaff, AZ 86001-2851
(928) 522-1300
(928) 522-1301

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Provider's Profile

Full NameJerrica Park
GenderFemale
SpecialityCommunity/behavioral Health
Location1120 W University Ave Ste 101, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245821669
  • Provider Enumeration Date: 01/28/2021
  • Last Update Date: 04/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062882178
  • Enrollment ID: I20230106000932

Medical Identifiers

Medical identifiers for Jerrica Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245821669NPI-NPPES
157725MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9452 (Arizona)Secondary
251S00000XCommunity/behavioral Health (* (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. Jerrica 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
Jerrica Park, PA-C
Po Box 3630,
Flagstaff, AZ 86003-3630

Ph: (928) 522-9879		Jerrica Park, PA-C
1120 W University Ave Ste 101,
Flagstaff, AZ 86001-2851

Ph: (928) 522-1300

Reviews and Comments



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.