Minhye Park, NP in Fayetteville, GA - Medicare Nurse Practitioner

Minhye Park, NP is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. Her current practice location is 1267 Highway 54 W Ste 2200, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 719-0051.

Minhye Park is licensed to practice in Georgia (license number RN248964) 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 1649968678.

Contact Information

	Minhye Park, NP
	1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110
	(770) 719-0051
	Not Available

Map and Direction

Provider's Profile

Full Name	Minhye Park
Gender	Female
Speciality	Nurse Practitioner
Location	1267 Highway 54 W Ste 2200, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649968678
Provider Enumeration Date: 04/27/2023
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8628439288
Enrollment ID: I20230728001020

Medical Identifiers

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

Identifier	Type	State	Issuer
1649968678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN248964 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN248964 (Georgia)	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. Minhye Park allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Cardiology Of Atlanta, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153

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. Minhye 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
Minhye Park, NP 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 Ph: (770) 716-0051	Minhye Park, NP 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 Ph: (770) 719-0051

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Minhye Park, NP - Medicare Nurse Practitioner in Fayetteville, GA