Dr Evan Daniel Parks, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kalkaska, Michigan. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Kalkaska Memorial Health Center and his current practice location is
419 S Coral St, Kalkaska, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 258-7777.
Dr Evan Daniel Parks is licensed to practice in Michigan (license number 6301006916) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437452406.
Healthcare Provider's Profile
| Full Name | Dr Evan Daniel Parks |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 33 Years |
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| Location | 419 S Coral St, Kalkaska, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Evan Daniel Parks graduated from medical school in 1993
NPI Data:
- NPI Number: 1437452406
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 07/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456649193
- Enrollment ID: I20161012000547
Medical Identifiers
Medical identifiers for Dr Evan Daniel Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437452406 | NPI | - | NPPES |
| 1437452406 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301006916 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kalkaska Memorial Health Center | 3577536002 | 57 |
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. Dr Evan Daniel Parks allows following entities to bill medicare on his behalf.
| Entity Name | Kalkaska Memorial Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013183060
PECOS PAC ID: 3577536002
Enrollment ID: O20040813000668 |
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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. Dr Evan Daniel Parks 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 |
|---|
Dr Evan Daniel Parks, PSYD
2153 Wealthy St Se Ste 235,
Grand Rapids, MI 49506-3033
Ph: Not Available | Dr Evan Daniel Parks, PSYD
419 S Coral St,
Kalkaska, MI 49646-2503
Ph: (231) 258-7777 |
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