Daniel Jun Park, MD in Tyler, TX - Medicare Pediatrics

Daniel Jun Park, MD is a medicare enrolled "Pediatrics" physician in Tyler, Texas. His current practice location is 706 Turtle Creek Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-3942.

Daniel Jun Park is licensed to practice in Texas (license number S0046) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063875292.

Contact Information

	Daniel Jun Park, MD
	706 Turtle Creek Dr, Tyler, TX 75701-1833
	(903) 595-3942
	Not Available

Map and Direction

Physician's Profile

Full Name	Daniel Jun Park
Gender	Male
Speciality	Pediatrics
Location	706 Turtle Creek Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063875292
Provider Enumeration Date: 04/04/2016
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5092115600
Enrollment ID: I20210617002342

Medical Identifiers

Medical identifiers for Daniel Jun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063875292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	S0046 (Texas)	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. Daniel Jun Park allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	University Of North Texas Health Science Center At Fort Worth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382

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. Daniel Jun 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
Daniel Jun Park, MD 4900 Mueller Blvd, Suite 3s.066c, Austin, TX 78723-3079 Ph: (512) 324-0165	Daniel Jun Park, MD 706 Turtle Creek Dr, Tyler, TX 75701-1833 Ph: (903) 595-3942

Reviews and Comments

Pediatrics Doctors in Tyler, TX

Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118
Ms. Yanique Tavia Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 North Broadway Ave, Tyler, TX 75702 Phone: 903-593-1892
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610

Daniel Jun Park, MD - Medicare Pediatrics in Tyler, TX