Chelsia Park, OD in Chinle, AZ - Medicare Optometrist Provider

Chelsia Park, OD is a medicare enrolled "Optometrist" provider in Chinle, Arizona. Her current practice location is Hospital Drive Off Highway 191, Chinle, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 674-7160.

Chelsia Park is licensed to practice in California (license number 14452) 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 1306109442.

Contact Information

	Chelsia Park, OD
	Hospital Drive Off Highway 191, Chinle, AZ 86503-8000
	(928) 674-7160
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chelsia Park
Gender	Female
Speciality	Optometrist
Location	Hospital Drive Off Highway 191, Chinle, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306109442
Provider Enumeration Date: 06/22/2012
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5799008561
Enrollment ID: I20141231000842

Medical Identifiers

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

Identifier	Type	State	Issuer
1306109442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	14452 (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. Chelsia Park allows following entities to bill medicare on her behalf.

Provider Name	Taos Picuris Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548372071 PECOS PAC ID: 5193638245 Enrollment ID: O20031106000188

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. Chelsia 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
Chelsia Park, OD Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7160	Chelsia Park, OD Hospital Drive Off Highway 191, Chinle, AZ 86503-8000 Ph: (928) 674-7160

Reviews and Comments

Optometrist in Chinle, AZ

Monica L Faley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Off Hwy 191 Highway Rd, Chinle, AZ 86503 Phone: 928-725-9690 Fax: 928-725-9699
Jonathan Lam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us 191 & Hospital Dr., Chinle, AZ 86503 Phone: 928-674-7001
Dr. Valerie L Sharpe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Drawer Ph, Chinle, AZ 86503 Phone: 928-674-7160
Dr. William Rohl Daniel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Chinle Hospital Eye Clinic, Po Drawer Ph, Chinle, AZ 86503 Phone: 928-674-7160
Rebecca Rae Sorenson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Po Box Ph, Chinle, AZ 86503 Phone: 928-674-7628 Fax: 928-674-7707
Joel P. Causey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705

Chelsia Park, OD - Medicare Optometrist in Chinle, AZ