Dr Keith R Hamm, OD is a medicare enrolled "Optometrist" provider in Shiloh, Illinois. He went to Southern College Of Optometry and graduated in 2002 and has 23 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Avc Optometry Inc and his current practice location is
3248 Green Mount Crossing Dr, Shiloh, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 622-9225.
Dr Keith R Hamm is licensed to practice in Illinois (license number 046-009444) 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 1225023401.
Healthcare Provider's Profile
| Full Name | Dr Keith R Hamm |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 23 Years |
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| Location | 3248 Green Mount Crossing Dr, Shiloh, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Keith R Hamm attended and graduated from Southern College Of Optometry in 2002
NPI Data:
- NPI Number: 1225023401
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 08/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678514015
- Enrollment ID: I20050517000181
Medical Identifiers
Medical identifiers for Dr Keith R Hamm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225023401 | NPI | - | NPPES |
| 046-009444 | Medicaid | MO | |
| 046-009444 | Medicaid | IL | |
| 30821 | Other | | MED COMPLETE |
| 612276 | Other | | HEALTHLINK |
| 238288 | Other | | GHP |
| P00238170 | Other | IL | RAILROAD MEDICARE |
| 166472 | Other | | BLUE CROSS BLUE SHIELD |
| 94444 | Other | | EYEMED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 046-009444 (Illinois) | Primary |
| 152W00000X | Optometrist | 20020153161 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avc Optometry Inc | 7214345735 | 5 |
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 Keith R Hamm allows following entities to bill medicare on his behalf.
| Provider Name | Clarkson Optometry Illinois, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548635758
PECOS PAC ID: 7012292147
Enrollment ID: O20170331001568 |
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| Provider Name | Avc Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285214544
PECOS PAC ID: 7214345735
Enrollment ID: O20210422001845 |
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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 Keith R Hamm 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 Keith R Hamm, OD
40 E North St,
Eureka, MO 63025-1205
Ph: (636) 200-4393 | Dr Keith R Hamm, OD
3248 Green Mount Crossing Dr,
Shiloh, IL 62269-7284
Ph: (618) 622-9225 |
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