Mr Elvin M Park, NP in Oxnard, CA - Medicare Nurse Practitioner

Mr Elvin M Park, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Oxnard, California. His current practice location is 1700 N Rose Ave Ste 220, Oxnard, California. You can reach out to his office (for appointments etc.) via phone at (805) 754-2811.

Mr Elvin M Park is licensed to practice in California (license number 11908) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285665778.

Contact Information

	Mr Elvin M Park, NP
	1700 N Rose Ave Ste 220, Oxnard, CA 93030-7640
	(805) 754-2811
	(805) 754-2814

Map and Direction

Provider's Profile

Full Name	Mr Elvin M Park
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	1700 N Rose Ave Ste 220, Oxnard, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285665778
Provider Enumeration Date: 07/05/2006
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6103862073
Enrollment ID: I20050630000462

Medical Identifiers

Medical identifiers for Mr Elvin M Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285665778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	11908 (California)	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. Mr Elvin M Park allows following entities to bill medicare on his behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Mr Elvin M 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
Mr Elvin M Park, NP 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Mr Elvin M Park, NP 1700 N Rose Ave Ste 220, Oxnard, CA 93030-7640 Ph: (805) 754-2811

Reviews and Comments

Nurse Practitioner Nurses in Oxnard, CA

Bonnie Ridge, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3125 Saviers Rd, Oxnard, CA 93033 Phone: 805-483-0131
Marie Elizabeth Wilson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2843 Fax: 805-988-2844
Karen Lathers, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3661 Leeward Way, Oxnard, CA 93035 Phone: 609-408-2978
Mrs. Marie Joyner Nelsen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 Solar Dr Ste 265, Oxnard, CA 93036 Phone: 805-746-4667
Claudio Cardenas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 E Vineyard Ave, Oxnard, CA 93036 Phone: 805-436-3444 Fax: 805-485-4160
Ms. Alicia Zaragoza, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 N Rose Ave, Suite 145, Oxnard, CA 93030 Phone: 805-988-2500 Fax: 805-981-4479
Denise Andrea Stephens, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2843 Fax: 805-988-2844

Mr Elvin M Park, NP - Medicare Nurse Practitioner in Oxnard, CA