Taek Soo Shin, MD | |
2601 Little Elm Pkwy Ste 1404, Little Elm, TX 75068-1922 | |
(972) 972-4234 | |
Not Available |
Full Name | Taek Soo Shin |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 2601 Little Elm Pkwy Ste 1404, Little Elm, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417169376 | NPI | - | NPPES |
P00855816 | Other | IL | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-116597 (Illinois) | Secondary |
208M00000X | Hospitalist | 036116597 (Illinois) | Secondary |
207R00000X | Internal Medicine | S5269 (Texas) | Primary |
Entity Name | Health And Human Services Commission |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Entity Name | Little Lantern Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114409133 PECOS PAC ID: 0446502322 Enrollment ID: O20181003001751 |
Entity Name | Care Md Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265150148 PECOS PAC ID: 6002292125 Enrollment ID: O20220927002660 |
Mailing Address | Practice Location Address |
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Taek Soo Shin, MD 2601 Little Elm Pkwy Ste 1404, Little Elm, TX 75068-1922 Ph: (972) 972-4234 | Taek Soo Shin, MD 2601 Little Elm Pkwy Ste 1404, Little Elm, TX 75068-1922 Ph: (972) 972-4234 |
Dr. Jill Ellen Wolf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 E Eldorado Pkwy, Little Elm, TX 75068 Phone: 972-292-3330 Fax: 972-292-3330 | |
Dr. Sarah Azim Khan-atif, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 Little Elm Pkwy Ste 1204, Little Elm, TX 75068 Phone: 972-968-9114 Fax: 972-472-1676 | |
Dr. John Gerard Flores, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 E Eldorado Pkwy, Little Elm, TX 75068 Phone: 972-292-3330 Fax: 972-292-3332 | |
Ajay Jayendra Pathak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2833 W Eldorado Pkwy Ste 307, Little Elm, TX 75068 Phone: 972-292-0300 Fax: 972-292-0301 | |
Dr. Ramesh Chandran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2721 Little Elm Pkwy, Suite 220, Little Elm, TX 75068 Phone: 972-464-1021 Fax: 214-872-3656 |