Ms Cynthia Anne Park, ACNP-BC is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in St. Gabriel, Louisiana. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
6925 Highway 74, St. Gabriel, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 319-4508.
Ms Cynthia Anne Park is licensed to practice in Louisiana (license number AP05157) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912236738.
Provider's Profile
| Full Name | Ms Cynthia Anne Park |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 6925 Highway 74, St. Gabriel, Louisiana |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Cynthia Anne Park graduated from nursing school in 2011
NPI Data:
- NPI Number: 1912236738
- Provider Enumeration Date: 12/08/2009
- Last Update Date: 12/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 1355812983
- Enrollment ID: I20260604003187
Medical Identifiers
Medical identifiers for Ms Cynthia Anne Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912236738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | AP05157 (Louisiana) | Primary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | AP05157 (Louisiana) | Secondary |
Medical Facilities Affiliation
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. Ms Cynthia Anne Park allows following entities to bill medicare on her behalf.
| Entity Name | Bristol Bay Area Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
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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. Ms Cynthia Anne 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 |
Ms Cynthia Anne Park, ACNP-BC 6925 Hwy 74, St Gabriel, LA 70776 Ph: (225) 319-4508 | Ms Cynthia Anne Park, ACNP-BC 6925 Highway 74, St. Gabriel, LA 70776 Ph: (225) 319-4508 |
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