Dr Traci Boyd Acklin, MD is a medicare enrolled "Pediatrics" physician in Montgomery, West Virginia. Her current practice location is
401 6th Ave, Suite 100, Montgomery, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 442-7427.
Dr Traci Boyd Acklin is licensed to practice in West Virginia (license number 20405) 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 1578527107.
Physician's Profile
| Full Name | Dr Traci Boyd Acklin |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 401 6th Ave, Montgomery, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578527107
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587094131
- Enrollment ID: I20200422000623
Medical Identifiers
Medical identifiers for Dr Traci Boyd Acklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578527107 | NPI | - | NPPES |
| 1802460000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 20405 (West Virginia) | 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. Dr Traci Boyd Acklin allows following entities to bill medicare on her behalf.
| Entity Name | Montgomery General Hospital, Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1619913647
PECOS PAC ID: 6204735269
Enrollment ID: O20050110000040 |
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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 Traci Boyd Acklin 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 Traci Boyd Acklin, MD
401 6th Ave, Suite 100,
Montgomery, WV 25136-2116
Ph: (304) 442-7427 | Dr Traci Boyd Acklin, MD
401 6th Ave, Suite 100,
Montgomery, WV 25136-2116
Ph: (304) 442-7427 |
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