Traci Lynne Kohm, OD in St. Louis, MO - Medicare Optometrist Provider

Traci Lynne Kohm, OD is a medicare enrolled "Optometrist" provider in St. Louis, Missouri. Her current practice location is 9549 Watson Road, St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 651-3883.

Traci Lynne Kohm is licensed to practice in Missouri (license number 2006017275) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053455295.

Contact Information

	Traci Lynne Kohm, OD
	9549 Watson Road, St. Louis, MO 63126
	(314) 651-3883
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Traci Lynne Kohm
Gender	Female
Speciality	Optometrist
Location	9549 Watson Road, St. Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053455295
Provider Enumeration Date: 02/19/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6507960929
Enrollment ID: I20070324000032

Medical Identifiers

Medical identifiers for Traci Lynne Kohm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053455295	NPI	-	NPPES
MA1595030	Other	MO	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2006017275 (Missouri)	Primary

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. Traci Lynne Kohm allows following entities to bill medicare on her behalf.

Provider Name	Eye See Vision Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508546573 PECOS PAC ID: 7517316094 Enrollment ID: O20231208002051

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. Traci Lynne Kohm 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
Traci Lynne Kohm, OD 9549 Watson Road, St. Louis, MO 63126 Ph: (314) 651-3883	Traci Lynne Kohm, OD 9549 Watson Road, St. Louis, MO 63126 Ph: (314) 651-3883

Reviews and Comments

Optometrist in St. Louis, MO

Jeff Thompson, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Watson Plaza, St. Louis, MO 63126 Phone: 314-821-2929
Dr. Darci Lea Hunter Prewitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Lenscrafters, 122a S County Center Way, St. Louis, MO 63129 Phone: 314-416-7588 Fax: 314-416-9368
Dr. Mary Beth Rhomberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7840 Natural Bridge Rd, Patient Care Center, St. Louis, MO 63121 Phone: 314-516-5131 Fax: 314-516-5507
Crown Optical Optometrist Medicare: Medicare Enrolled Practice Location: 10465 St. Charles Rock Road, St. Louis, MO 63074 Phone: 314-423-2010 Fax: 800-432-6004
Dr. Jessica Tu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7840 Natural Bridge Blvd, Patient Care Center, St. Louis, MO 63121 Phone: 314-516-5131 Fax: 314-516-5507
Stephanie Lynn Cullinan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3122 S Grand, St. Louis, MO 63118 Phone: 314-450-7313

Traci Lynne Kohm, OD - Medicare Optometrist in St. Louis, MO