Paula Leeanne Park, DPT in Orange, CA - Medicare Physical Therapist Provider

Paula Leeanne Park, DPT is a medicare enrolled "Physical Therapist" provider in Orange, California. Her current practice location is 171 S Lincoln St, Orange, California. You can reach out to her office (for appointments etc.) via phone at (785) 250-1755.

Paula Leeanne Park is licensed to practice in California (license number 293252) 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 1568845816.

Contact Information

	Paula Leeanne Park, DPT
	171 S Lincoln St, Orange, CA 92866-2235
	(785) 250-1755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paula Leeanne Park
Gender	Female
Speciality	Physical Therapist
Location	171 S Lincoln St, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568845816
Provider Enumeration Date: 07/06/2015
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9638486210
Enrollment ID: I20240909001279

Medical Identifiers

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

Identifier	Type	State	Issuer
1568845816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Kansas)	Secondary
225100000X	Physical Therapist	293252 (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. Paula Leeanne Park allows following entities to bill medicare on her behalf.

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Paula Leeanne 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
Paula Leeanne Park, DPT 171 S Lincoln St, Orange, CA 92866-2235 Ph: (785) 250-1755	Paula Leeanne Park, DPT 171 S Lincoln St, Orange, CA 92866-2235 Ph: (785) 250-1755

Reviews and Comments

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Paula Leeanne Park, DPT - Medicare Physical Therapist in Orange, CA