Dr Taejeon Shin, DC, LAC is a medicare enrolled "Acupuncturist" provider in Overland Park, Kansas. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Chiropractic. His current practice location is
7050 W 105th St, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 649-2044.
Dr Taejeon Shin is licensed to practice in Kansas (license number 23-00018) 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 1962757575.
Healthcare Provider's Profile
| Full Name | Dr Taejeon Shin |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 17 Years |
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| Location | 7050 W 105th St, Overland Park, Kansas |
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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 Taejeon Shin graduated from medical school in 2007
NPI Data:
- NPI Number: 1962757575
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 08/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 5698091262
- Enrollment ID: I20150226001575
Medical Identifiers
Medical identifiers for Dr Taejeon Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962757575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 01-05645 (Kansas) | Secondary |
| 171100000X | Acupuncturist | 23-00018 (Kansas) | 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. Dr Taejeon Shin allows following entities to bill medicare on his behalf.
| Provider Name | Shin Acupuncture & Chiropractic, P.a. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235536988
PECOS PAC ID: 6002132727
Enrollment ID: O20150224000201 |
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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 Taejeon Shin 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 |
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Dr Taejeon Shin, DC, LAC
7050 W 105th St,
Overland Park, KS 66212-1803
Ph: (913) 649-2044 | Dr Taejeon Shin, DC, LAC
7050 W 105th St,
Overland Park, KS 66212-1803
Ph: (913) 649-2044 |
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