Dr Tae Shik Park, MD in Richmond, VA - Medicare Internal Medicine

Dr Tae Shik Park, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Richmond, Virginia. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Retreat Cardiology Llc and his current practice location is 1250 E Marshall St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 828-9989.

Dr Tae Shik Park is licensed to practice in Virginia (license number 0101259642) 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 1689015562.

Contact Information

	Dr Tae Shik Park, MD
	1250 E Marshall St, Richmond, VA 23298-5023
	(804) 828-9989
	(804) 828-3544

Map and Direction

Physician's Profile

Full Name	Dr Tae Shik Park
Gender	Male
Speciality	Internal Medicine
Experience	17 Years
Location	1250 E Marshall St, Richmond, Virginia
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:

Dr Tae Shik Park graduated from medical school in 2009

NPI Data:

NPI Number: 1689015562
Provider Enumeration Date: 07/08/2013
Last Update Date: 07/19/2025

Medicare PECOS Information:

PECOS PAC ID: 3577841261
Enrollment ID: I20161101000472

Medical Identifiers

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

Identifier	Type	State	Issuer
1689015562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	0101259642 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Retreat Cardiology Llc	5395838361	15

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 Tae Shik Park allows following entities to bill medicare on his behalf.

Entity Name	Retreat Cardiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073646501 PECOS PAC ID: 5395838361 Enrollment ID: O20070906000809

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 Tae Shik 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
Dr Tae Shik Park, MD Po Box 980257, Richmond, VA 23298-0257 Ph: (804) 828-9783	Dr Tae Shik Park, MD 1250 E Marshall St, Richmond, VA 23298-5023 Ph: (804) 828-9989

Reviews and Comments

Internal Medicine Doctors in Richmond, VA

Dr. Amy Samantha May Paul, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Internal Medicine/geriatric Medicine, Richmond, VA 23298 Phone: 804-254-3500 Fax: 804-254-1616
Dr. Clifton Linwood Parker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8300 Fulham Drive, Richmond, VA 23227 Phone: 804-264-5901
Dr. Michael A Mistretta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 W Broad St Ste 300, Richmond, VA 23230 Phone: 804-320-4243 Fax: 804-622-0552
Patricia J Sime, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-560-8921 Fax: 804-560-8992
Dr. Katherine Lavan Smallwood, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6900 Forest Ave, Suite 300, Richmond, VA 23230 Phone: 804-346-1515 Fax: 804-270-2888
Walid G. Abou Assi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7605 Forest Ave, Suite 109, Richmond, VA 23229 Phone: 804-285-6390 Fax: 804-285-6393
Dr. Paulina Essah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 N 25th St, Richmond, VA 23223 Phone: 804-253-1963 Fax: 804-780-0862

Dr Tae Shik Park, MD - Medicare Internal Medicine in Richmond, VA