Tae J Park, MD in Denton, TX - Medicare Internal Medicine

Tae J Park, MD is a medicare enrolled "Internal Medicine" physician in Denton, Texas. His current practice location is 500 Fort Worth Dr Ste 140, Denton, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 320-0505.

Tae J Park is licensed to practice in Texas (license number S1480) 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 1346297660.

Contact Information

	Tae J Park, MD
	500 Fort Worth Dr Ste 140, Denton, TX 76201-7527
	(940) 320-0505
	(940) 320-0506

Map and Direction

Physician's Profile

Full Name	Tae J Park
Gender	Male
Speciality	Internal Medicine
Location	500 Fort Worth Dr Ste 140, Denton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346297660
Provider Enumeration Date: 05/30/2006
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0648299461
Enrollment ID: I20200427001616

Medical Identifiers

Medical identifiers for Tae J Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346297660	NPI	-	NPPES
00A900470	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A90047 (California)	Secondary
207R00000X	Internal Medicine	S1480 (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. Tae J Park allows following entities to bill medicare on his behalf.

Entity Name	Wellmed Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519

Entity Name	Caremore Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730697483 PECOS PAC ID: 6406010552 Enrollment ID: O20220816003733

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. Tae J 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
Tae J Park, MD 500 Fort Worth Dr Ste 140, Denton, TX 76201-7527 Ph: (940) 320-0505	Tae J Park, MD 500 Fort Worth Dr Ste 140, Denton, TX 76201-7527 Ph: (940) 320-0505

Reviews and Comments

Internal Medicine Doctors in Denton, TX

Jamal Mubarak, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 209 N. Bonnie Brae Street, Suite 300, Denton, TX 76201 Phone: 940-382-5864 Fax: 940-382-3939
Dr. Seema Haq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Colorado Blvd, Denton, TX 76210 Phone: 940-488-4767 Fax: 855-444-9702
Asad Zamann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Colorado Blvd, Ste 102, Denton, TX 76210 Phone: 940-320-1708 Fax: 940-565-5457
Dr. Awilda Michelle Luciano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2665 Scripture Street, Denton, TX 76201 Phone: 940-387-8763 Fax: 940-535-5901
Dr. Ajit M Dave, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3327 Colorado Blvd, Suite #200, Denton, TX 76210 Phone: 940-382-4060 Fax: 940-380-9282
Dr. Sridhar Krishnamurthy Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 North Bonnie Brae Street, Suite 104, Denton, TX 76201 Phone: 940-565-0373 Fax: 940-565-0413
Niteesh Chitturu, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2505 Scripture St Ste 100, Denton, TX 76201 Phone: 940-320-2188

Tae J Park, MD - Medicare Internal Medicine in Denton, TX