Dr Tae Won Kim, OD in Killeen, TX - Medicare Optometrist Provider

Dr Tae Won Kim, OD is a medicare enrolled "Optometrist" provider in Killeen, Texas. His current practice location is 2100 S W S Young Dr Ste 1000, Killeen, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 261-7449.

Dr Tae Won Kim is licensed to practice in Texas (license number 9128) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073946406.

Contact Information

	Dr Tae Won Kim, OD
	2100 S W S Young Dr Ste 1000, Killeen, TX 76543-5355
	(254) 261-7449
	(254) 261-7450

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tae Won Kim
Gender	Male
Speciality	Optometrist
Location	2100 S W S Young Dr Ste 1000, Killeen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073946406
Provider Enumeration Date: 08/21/2013
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7012225378
Enrollment ID: I20151006002029

Medical Identifiers

Medical identifiers for Dr Tae Won Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073946406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC4831 (Florida)	Secondary
152W00000X	Optometrist	9128 (Texas)	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 Tae Won Kim allows following entities to bill medicare on his behalf.

Provider Name	Jennifer C Pacheco Od Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417376112 PECOS PAC ID: 2466679345 Enrollment ID: O20140818000778

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 Tae Won Kim 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 Tae Won Kim, OD 2100 S W S Young Dr Ste A, Killeen, TX 76543-5352 Ph: (254) 953-1164	Dr Tae Won Kim, OD 2100 S W S Young Dr Ste 1000, Killeen, TX 76543-5355 Ph: (254) 261-7449

Reviews and Comments

Optometrist in Killeen, TX

Vision Performance Institute, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3917 E Stan Schlueter Loop, Killeen, TX 76542 Phone: 254-781-0101 Fax: 254-781-0338
David Austin Ruiz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 416 N Gray St, Killeen, TX 76541 Phone: 254-634-7805 Fax: 254-634-1034
Fort Hood Eye Associates, P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2102 S W S Young Dr, Killeen, TX 76543 Phone: 713-256-8065
Karen Marie Summers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2102 S W S Young Dr, Killeen, TX 76543 Phone: 254-690-4733 Fax: 254-690-6728
Charles Robert Sanders, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Lowes Blvd, Killeen, TX 76542 Phone: 254-200-1165
John A Canyon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Lowes Blvd, Killeen, TX 76542 Phone: 254-200-1165 Fax: 254-634-1800

Dr Tae Won Kim, OD - Medicare Optometrist in Killeen, TX