Bethany Lynn Park, PA-C - Physician Assistant in Southfield, MI

Bethany Lynn Park, PA-C is a Physician Assistant based in Southfield, Michigan. Bethany Lynn Park is licensed to practice in Michigan (license number 5601012241) and her current practice location is 27177 Lahser Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (989) 277-6478.

NPI number for Bethany Lynn Park is 1114781747 and her current mailing address is 1521 Royal Oak St Sw, Wyoming, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114781747.

Contact Information

Bethany Lynn Park, PA-C
27177 Lahser Rd,
Southfield, MI 48034-4714
(989) 277-6478
Not Available



Provider's Profile

Full NameBethany Lynn Park
GenderFemale
SpecialityPhysician Assistant
Location27177 Lahser Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114781747
  • Provider Enumeration Date: 02/13/2024
  • Last Update Date: 02/13/2024

Medical Identifiers

Medical identifiers for Bethany Lynn Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114781747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601012241 (Michigan)Primary

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. Bethany Lynn Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bethany Lynn Park, PA-C
1521 Royal Oak St Sw,
Wyoming, MI 49509-2711

Ph: (989) 277-6478
Bethany Lynn Park, PA-C
27177 Lahser Rd,
Southfield, MI 48034-4714

Ph: (989) 277-6478

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› Verified 1 days ago


Physician Assistant Nurses in Southfield, MI

Mr. Gary Girard Errigo, PA C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075
Phone: 248-569-2695    Fax: 248-569-7250
Elizabeth Kowynia, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 29405 Greenfield Rd, Southfield, MI 48076
Phone: 248-983-5330    Fax: 248-327-7482
Mrs. Amanda Jane Marcozzi, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-3000    
Mr. Rafik E Mansour, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 23832 Southfield Rd, Southfield, MI 48075
Phone: 248-569-2600    
Kimberly Gadulka, MS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18161 W 13 Mile Rd Ste E1, Southfield, MI 48076
Phone: 248-642-8989    
Kaitlin Elizabeth Flaherty, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30130 Northgate Ln, Southfield, MI 48076
Phone: 248-217-7276    
Ms. Laurie Watt, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-3856    

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