Taeyong Sim, MD - Medicare Internal Medicine in Tipton, IN

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Taeyong Sim, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Tipton, Indiana. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pan S Ko Md Pc and his current practice location is 1000 S Main St, Tipton, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 675-8500.

Taeyong Sim is licensed to practice in Indiana (license number 01084344A) 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 1417396003.

Contact Information

Taeyong Sim, MD
1000 S Main St,
Tipton, IN 46072-9753
(765) 675-8500
(765) 675-8520

Map and Direction




Physician's Profile

Full NameTaeyong Sim
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location1000 S Main St, Tipton, Indiana
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:
  • Taeyong Sim graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1417396003
  • Provider Enumeration Date: 06/18/2013
  • Last Update Date: 09/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416249487
  • Enrollment ID: I20250514000516

Medical Identifiers

Medical identifiers for Taeyong Sim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417396003NPI-NPPES
300042363MedicaidIN
266430993OtherINMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01084344A (Indiana)Secondary
207RI0200XInternal Medicine - Infectious Disease 17903 (Nevada)Secondary
207RI0200XInternal Medicine - Infectious Disease 01084344A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pan S Ko Md Pc53959717093

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. Taeyong Sim allows following entities to bill medicare on his behalf.
Entity NamePan S Ko Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467887042
PECOS PAC ID: 5395971709
Enrollment ID: O20131113000917

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. Taeyong Sim 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
Taeyong Sim, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Taeyong Sim, MD
1000 S Main St,
Tipton, IN 46072-9753

Ph: (765) 675-8500

Reviews and Comments


Internal Medicine Doctors in Tipton, IN

Mrs. Mary C Compton, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 406 Fairgrounds Rd, Tipton, IN 46072
Phone: 765-675-2429    Fax: 765-675-8222
Dr. Shahab Zaidi, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1060 S Main St, Suite #1, Tipton, IN 46072
Phone: 765-675-1410    Fax: 765-675-8242
Ravi K Misra, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Main St, Tipton, IN 46072
Phone: 765-675-8500    Fax: 765-675-8500

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.