Dr Anthony Charles Traverse, OD 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

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anthony Charles Traverse
Gender	Male
Speciality	Optometry
Experience	21 Years
Location	10600 Old County Road 15, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1255431961	NPI	-	NPPES
2202143	Other	MN	MEDICA
050972800	Medicaid	MN
417R7TR	Other	MN	BLUE CROSS BLUE SHIELD
977521040529	Other	MN	PERFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	LD2933000 (Minnesota)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	LD2933000 (Minnesota)	Secondary
152WP0200X	Optometrist - Pediatrics	LD2933000 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kennedy Vision Health Center, Llc	9739173659	6

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 Name	Kennedy Vision Health Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033203963 PECOS PAC ID: 9739173659 Enrollment ID: O20040413001418

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 Address	Practice 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

Reviews and Comments

Optometrist in Plymouth, MN

Grant Sealock, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167
Kenndy Vision Health Center 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

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