David Taegon Park, DO - Medicare Neurology in Wynnewood, PA

David Taegon Park, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Wynnewood, Pennsylvania. He went to Kansas City University Of Physicians And Surgeons and graduated in 2009 and has 15 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Main Line Healthcare, Novacare Outpatient Rehabilitation East Inc and his current practice location is 100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 572-6300.

David Taegon Park is licensed to practice in Pennsylvania (license number OS017068) 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 1275766453.

Contact Information

David Taegon Park, DO
100 E Lancaster Ave, Suite 256 Lankenau Mob East,
Wynnewood, PA 19096-3450
(484) 572-6300
(484) 572-6305

Map and Direction




Physician's Profile

Full NameDavid Taegon Park
GenderMale
SpecialityNeurology
Experience15 Years
Location100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Taegon Park attended and graduated from Kansas City University Of Physicians And Surgeons in 2009
  NPI Data:
  • NPI Number: 1275766453
  • Provider Enumeration Date: 09/03/2009
  • Last Update Date: 10/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4385869049
  • Enrollment ID: I20140714000994

Medical Identifiers

Medical identifiers for David Taegon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275766453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology OS017068 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Main Line Hospital LankenauWynnewood, PAHospital
Riddle Memorial HospitalMedia, PAHospital
Bryn Mawr HospitalBryn mawr, PAHospital
Paoli HospitalPaoli, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201894
Novacare Outpatient Rehabilitation East Inc3678480290617

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. David Taegon Park allows following entities to bill medicare on his behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. David Taegon 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
David Taegon Park, DO
100 E Lancaster Ave, Suite 256 Lankenau Mob East,
Wynnewood, PA 19096-3450

Ph: (484) 572-6300
David Taegon Park, DO
100 E Lancaster Ave, Suite 256 Lankenau Mob East,
Wynnewood, PA 19096-3450

Ph: (484) 572-6300

Reviews and Comments


Psychiatry & Neurology Doctors in Wynnewood, PA

Theodore Weiss, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, 116 Lankenau Medical Building South, Wynnewood, PA 19096
Phone: 610-649-7006    
Dr. Stephen Michael Gollomp, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Lancaster Ave, Suite 161, Wynnewood, PA 19096
Phone: 610-642-5371    Fax: 610-642-5658
Dr. Firouzeh Safainili, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 508 Parkview Dr, Wynnewood, PA 19096
Phone: 610-642-2604    
Howard Joel Caplan, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096
Phone: 484-572-6300    Fax: 484-572-6305
Dr. Norman Scott Stehle, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 100 East Lancaster Avenue, Medical Office Building, Wynnewood, PA 19096
Phone: 610-649-0561    
Dr. Alan Ross Wofsey, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Lancaster Ave, Suite 566, Wynnewood, PA 19096
Phone: 610-649-3070    Fax: 610-527-7415

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.