| Tae Won Park, MD | |
|
1547 S Wayne Rd, Westland, MI 48186 | |
| (734) 729-3133 | |
| (734) 729-3130 |
| Full Name | Tae Won Park |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 52 Years |
| Location | 1547 S Wayne Rd, Westland, Michigan |
| 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 |
|---|---|---|---|
| 1538133020 | NPI | - | NPPES |
| 109472710 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301035528 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apex Behavioral Health Western Wayne | 4183885593 | 7 |
| Entity Name | Hegira Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753 |
| Entity Name | Apex Behavioral Health Western Wayne |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962779710 PECOS PAC ID: 4183885593 Enrollment ID: O20120411000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Won Park, MD 1547 S Wayne Rd, Westland, MI 48186 Ph: (734) 729-3133 | Tae Won Park, MD 1547 S Wayne Rd, Westland, MI 48186 Ph: (734) 729-3133 |
Dr. Tabassum Kahkashan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd Ste 200, Westland, MI 48185 Phone: 734-458-4601 | |
Dr. Drew Alan Trentacosta, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8400 Fax: 734-722-5562 | |
Dr. Aruna Bavineni, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8520 | |
Himaja Gummadi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8403 Fax: 734-722-9524 | |
Dr. Pawel Andrzej Galecki, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-999-0269 Fax: 734-212-6953 | |
Robert Grenn, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8400 | |
Dr. Katherine Welk Litow, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2001 S Merriman Rd, Westland, MI 48186 Phone: 734-727-1000 |