Mr Jung Tae Park, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Whitwell, Tennessee. His current practice location is
13851 Highway 28, Whitwell, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 658-9200.
Mr Jung Tae Park is licensed to practice in Tennessee (license number MD0000010100) 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 1942291638.
Physician's Profile
Full Name | Mr Jung Tae Park |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 13851 Highway 28, Whitwell, Tennessee |
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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. |
Medical Education and Training:
- Mr Jung Tae Park attended and graduated from in
NPI Data:
- NPI Number: 1942291638
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jung Tae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942291638 | NPI | - | NPPES |
2002139 | Other | TN | B CARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | MD0000010100 (Tennessee) | 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. Mr Jung Tae 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 |
Mr Jung Tae Park, MD Po Box 400, 13851 Highway 28, Whitwell, TN 37397-0400 Ph: (423) 658-9200 | Mr Jung Tae Park, MD 13851 Highway 28, Whitwell, TN 37397-5373 Ph: (423) 658-9200 |
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