Mr Rustin Jin Park, RN, BSN - Registered Nurse in Las Vegas, NV

Mr Rustin Jin Park, RN, BSN is a Registered Nurse - Psychiatric/mental Health based in Las Vegas, Nevada. Mr Rustin Jin Park is licensed to practice in Nevada (license number RN65754) and his current practice location is 4000 E Charleston Blvd, Suite 130, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 968-4020.

NPI number for Mr Rustin Jin Park is 1003112814 and his current mailing address is 4000 E Charleston Blvd, Suite 130, Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003112814.

Contact Information

Mr Rustin Jin Park, RN, BSN
4000 E Charleston Blvd, Suite 130,
Las Vegas, NV 89104-6659
(702) 968-4020
(702) 968-4040

Map and Direction




Provider's Profile

Full NameMr Rustin Jin Park
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location4000 E Charleston Blvd, Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003112814
  • Provider Enumeration Date: 01/27/2011
  • Last Update Date: 01/27/2011

Medical Identifiers

Medical identifiers for Mr Rustin Jin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003112814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN65754 (Nevada)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. Mr Rustin Jin Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Rustin Jin Park, RN, BSN
4000 E Charleston Blvd, Suite 130,
Las Vegas, NV 89104-6659

Ph: (702) 968-4020
Mr Rustin Jin Park, RN, BSN
4000 E Charleston Blvd, Suite 130,
Las Vegas, NV 89104-6659

Ph: (702) 968-4020

Reviews and Comments


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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.

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