Dr Boram Kim Park, MD - Medicare Internal Medicine in Dallas, TX

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Dr Boram Kim Park, MD is a medicare enrolled "Internal Medicine" physician in Dallas, Texas. She went to Northwestern University Feinberg Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 3607 Oak Lawn Ave Ste 270, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 375-6262.

Dr Boram Kim Park is licensed to practice in Texas (license number Q6083) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881983468.

Contact Information

Dr Boram Kim Park, MD
3607 Oak Lawn Ave Ste 270,
Dallas, TX 75219-4743
(214) 375-6262
(214) 375-6266

Map and Direction




Physician's Profile

Full NameDr Boram Kim Park
GenderFemale
SpecialityInternal Medicine
Experience15 Years
Location3607 Oak Lawn Ave Ste 270, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Boram Kim Park attended and graduated from Northwestern University Feinberg Medical School in 2009
  NPI Data:
  • NPI Number: 1881983468
  • Provider Enumeration Date: 04/04/2011
  • Last Update Date: 06/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820238009
  • Enrollment ID: I20151113000679

Medical Identifiers

Medical identifiers for Dr Boram Kim Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881983468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine Q6083 (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. Dr Boram Kim Park allows following entities to bill medicare on her behalf.
Entity NameMedhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912957200
PECOS PAC ID: 9931001567
Enrollment ID: O20040123000832
Entity NameHealth Texas-dallas Diagnostic Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245235886
PECOS PAC ID: 6204817398
Enrollment ID: O20040525001513
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187
Entity NameBoram Park, M.d., Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821616566
PECOS PAC ID: 3577976562
Enrollment ID: O20210112002548

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 Boram Kim 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 AddressPractice Location Address
Dr Boram Kim Park, MD
3607 Oak Lawn Ave Ste 270,
Dallas, TX 75219-4743

Ph: (214) 375-6262		Dr Boram Kim Park, MD
3607 Oak Lawn Ave Ste 270,
Dallas, TX 75219-4743

Ph: (214) 375-6262

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.