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

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 NameDr Tae Won Kim
GenderMale
SpecialityOptometrist
Location2100 S W S Young Dr Ste 1000, Killeen, Texas
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1073946406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC4831 (Florida)Secondary
152W00000XOptometrist 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 NameJennifer C Pacheco Od Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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

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Phone: 254-690-4733    Fax: 254-690-6728
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Phone: 254-200-1165    Fax: 254-634-1800

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.