Ms Elizabeth Anne Park, PSYD in San Bernardino, CA

Ms Elizabeth Anne Park, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Bernardino, California. Her current practice location is 250 S G St, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-1000.

Ms Elizabeth Anne Park is licensed to practice in California (license number 27404) 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 1760515886.

Contact Information

	Ms Elizabeth Anne Park, PSYD
	250 S G St, San Bernardino, CA 92410-3320
	(909) 558-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Elizabeth Anne Park
Gender	Female
Speciality	Psychologist - Clinical
Location	250 S G St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760515886
Provider Enumeration Date: 03/14/2007
Last Update Date: 05/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2860824976
Enrollment ID: I20191111003082

Medical Identifiers

Medical identifiers for Ms Elizabeth Anne Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760515886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	27404 (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. Ms Elizabeth Anne Park allows following entities to bill medicare on her behalf.

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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 Elizabeth 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 Elizabeth Anne Park, PSYD 250 S G St, San Bernardino, CA 92410-3320 Ph: (909) 558-1000	Ms Elizabeth Anne Park, PSYD 250 S G St, San Bernardino, CA 92410-3320 Ph: (909) 558-1000

Reviews and Comments

Psychologist in San Bernardino, CA

Dr. Christine Bierdrager-salley, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 Fax: 909-380-7030
Dr. Veronica Regueiro, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1499 S Tippecanoe Ave Bldg A, San Bernardino, CA 92408 Phone: 909-799-3777 Fax: 909-799-5999
Dr. Rhonda Q Higgins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 213-435-5381
Aantuu Mengistu, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100
Ms. Kayla A Queen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2195 Club Center Dr, San Bernardino, CA 92408 Phone: 909-558-4000
Dr. Jonathan Robert Held, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 W Mill Street, San Bernardino, CA 92415 Phone: 909-388-4133 Fax: 909-388-4190
Michelle Chong, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2195 Club Center Dr, San Bernardino, CA 92408 Phone: 909-558-2617

Ms Elizabeth Anne Park, PSYD - Medicare Psychologist in San Bernardino, CA