Dr Linda A Tackes, MD in Saint Louis, MO

Dr Linda A Tackes, MD is a medicare enrolled "Pediatrics" physician in Saint Louis, Missouri. Her current practice location is 5114 Mid America Plz, Ste 2c, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 859-4000.

Dr Linda A Tackes is licensed to practice in Missouri (license number 103626) 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 1003848425.

Contact Information

	Dr Linda A Tackes, MD
	5114 Mid America Plz, Ste 2c, Saint Louis, MO 63129-0003
	(314) 859-4000
	(314) 273-4110

Map and Direction

Physician's Profile

Full Name	Dr Linda A Tackes
Gender	Female
Speciality	Pediatrics
Location	5114 Mid America Plz, Saint 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: 1003848425
Provider Enumeration Date: 07/07/2006
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2567427883
Enrollment ID: I20181226001265

Medical Identifiers

Medical identifiers for Dr Linda A Tackes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003848425	NPI	-	NPPES
208556605	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	103626 (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. Dr Linda A Tackes allows following entities to bill medicare on her behalf.

Entity Name	Premier Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083195762 PECOS PAC ID: 3678817921 Enrollment ID: O20181128000250

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 Linda A Tackes 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 Linda A Tackes, MD Po Box 7412051, Chicago, IL 60674-2051 Ph: (314) 859-4000	Dr Linda A Tackes, MD 5114 Mid America Plz, Ste 2c, Saint Louis, MO 63129-0003 Ph: (314) 859-4000

Reviews and Comments

Pediatrics Doctors in Saint Louis, MO

Dr. Rachel Elizabeth Granberg, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl Msc 8116-0043-09, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392
Timothy J Kutz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-6406 Fax: 314-268-2712
Dr. William L Rives, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953
Dr. Peter M Kilbridge, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Suite C, Saint Louis, MO 63110 Phone: 314-454-2479 Fax: 314-454-2524
Sarah B. Aschkenasi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-286-1264 Fax: 314-454-8869
Dr. Jeffrey Magee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hematology And Onc, Ste 9s, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392

Dr Linda A Tackes, MD - Medicare Pediatrics in Saint Louis, MO