Dr Anthony Charles Traverse, OD - Medicare Optometrist in Plymouth, MN

Dr Anthony Charles Traverse, OD is a medicare enrolled "Optometrist" provider in Plymouth, Minnesota. He went to Pacific University - College Of Optometry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Kennedy Vision Health Center, Llc and his current practice location is 10600 Old County Road 15, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 545-8850.

Dr Anthony Charles Traverse is licensed to practice in Minnesota (license number LD2933000) 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 1255431961.

Contact Information

Dr Anthony Charles Traverse, OD
10600 Old County Road 15,
Plymouth, MN 55441-6210
(763) 545-8850
(763) 544-1257



Healthcare Provider's Profile

Full NameDr Anthony Charles Traverse
GenderMale
SpecialityOptometry
Experience21 Years
Location10600 Old County Road 15, Plymouth, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anthony Charles Traverse attended and graduated from Pacific University - College Of Optometry in 2003
  NPI Data:
  • NPI Number: 1255431961
  • Provider Enumeration Date: 09/23/2006
  • Last Update Date: 12/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668466335
  • Enrollment ID: I20040414000639

Medical Identifiers

Medical identifiers for Dr Anthony Charles Traverse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255431961NPI-NPPES
2202143OtherMNMEDICA
050972800MedicaidMN
417R7TROtherMNBLUE CROSS BLUE SHIELD
977521040529OtherMNPERFERRED ONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist LD2933000 (Minnesota)Primary
152WC0802XOptometrist - Corneal And Contact Management LD2933000 (Minnesota)Secondary
152WP0200XOptometrist - Pediatrics LD2933000 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Vision Health Center, Llc97391736596

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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 Anthony Charles Traverse allows following entities to bill medicare on his behalf.
Provider NameKennedy Vision Health Center, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033203963
PECOS PAC ID: 9739173659
Enrollment ID: O20040413001418

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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 Anthony Charles Traverse 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 Anthony Charles Traverse, OD
10600 Old County Road 15,
Plymouth, MN 55441-6210

Ph: (763) 545-8850
Dr Anthony Charles Traverse, OD
10600 Old County Road 15,
Plymouth, MN 55441-6210

Ph: (763) 545-8850

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Optometrist in Plymouth, MN

Kennedy Vision Health Center, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 10600 Old County Road 15, Plymouth, MN 55441
Phone: 763-545-8850    Fax: 763-544-1257
John Mueller Od Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442
Phone: 763-559-5522    Fax: 763-559-7122
Nicole Ann Solem, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4455 Highway 169 N, Plymouth, MN 55442
Phone: 763-559-7358    
Dr. Kelsey Moore, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 10600 Old County Road 15, Plymouth, MN 55441
Phone: 763-545-8850    Fax: 763-544-1257
Visionsmith Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442
Phone: 763-559-5522    Fax: 763-559-7122
Dr. Nadia Siddiqi Khan, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447
Phone: 763-559-4669    Fax: 763-559-4767
Chase Edward Eder, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 10600 Old County Road 15, Plymouth, MN 55441
Phone: 763-452-9381    

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