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

  1. Home
  2. Internal Medicine
  3. TX
  4. Dallas
Tae J Park, MD is a medicare enrolled "Internal Medicine" physician in Dallas, Texas. His current practice location is 306 S Hampton Rd Ste 322, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 501-9205.

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
306 S Hampton Rd Ste 322,
Dallas, TX 75208-5617
(469) 501-9205
(469) 629-1179

Map and Direction




Physician's Profile

Full NameTae J Park
GenderMale
SpecialityInternal Medicine
Location306 S Hampton Rd Ste 322, Dallas, Texas
Accepts Medicare AssignmentsMedicare 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: 09/15/2025
  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.
IdentifierTypeStateIssuer
1346297660NPI-NPPES
00A900470MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine S1480 (Texas)Primary
207R00000XInternal Medicine A90047 (California)Secondary

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 NameWellmed Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437156486
PECOS PAC ID: 4880657386
Enrollment ID: O20041105000519
Entity NameCarelon Medical Partners Of Arizona Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Tae J Park, MD
306 S Hampton Rd Ste 322,
Dallas, TX 75208-5617

Ph: (469) 501-9205		Tae J Park, MD
306 S Hampton Rd Ste 322,
Dallas, TX 75208-5617

Ph: (469) 501-9205

Reviews and Comments


Internal Medicine Doctors in Dallas, TX

Uma B.r.k Pakkivenkata, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231
Phone: 214-396-4950    Fax: 877-423-5360
Dr. Ariel Marcelo Modrykamien, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246
Phone: 402-972-6078    
Benjamin Seth Martinez, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3111    Fax: 214-648-5461
Vijaya Mummadi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231
Phone: 469-646-8880    Fax: 469-646-8884
Ting-yi Chen, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-645-2800    Fax: 214-645-2808
William Cook Langmade, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1441 N Beckley Ave, Dallas, TX 75203
Phone: 214-947-2306    
Jacqueline Nicole Horst, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208
Phone: 214-960-5681    

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.