Tracie Malsom, OD in Fargo, ND - Medicare Optometry Provider

Tracie Malsom, OD is a medicare enrolled "Optometrist" provider in Fargo, North Dakota. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Lance K Bergstrom Md Pc and her current practice location is 1695 43rd St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 235-3937.

Tracie Malsom is licensed to practice in North Dakota (license number 642) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720038441.

Contact Information

	Tracie Malsom, OD
	1695 43rd St S, Fargo, ND 58103-3317
	(701) 235-3937
	(701) 356-3937

Map and Direction

Healthcare Provider's Profile

Full Name	Tracie Malsom
Gender	Female
Speciality	Optometry
Experience	24 Years
Location	1695 43rd St S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracie Malsom graduated from medical school in 2000

NPI Data:

NPI Number: 1720038441
Provider Enumeration Date: 05/11/2006
Last Update Date: 09/27/2013

Medicare PECOS Information:

PECOS PAC ID: 8628085750
Enrollment ID: I20131126001931

Medical Identifiers

Medical identifiers for Tracie Malsom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720038441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003360 (Indiana)	Secondary
152W00000X	Optometrist	642 (North Dakota)	Primary
152W00000X	Optometrist	3046 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lance K Bergstrom Md Pc	3577542216	3

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. Tracie Malsom allows following entities to bill medicare on her behalf.

Provider Name	Lance K Bergstrom Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801819826 PECOS PAC ID: 3577542216 Enrollment ID: O20040716000370

Provider Name	Melissa J Mcculley O D P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497871214 PECOS PAC ID: 5890717490 Enrollment ID: O20051223000141

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. Tracie Malsom 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
Tracie Malsom, OD 1695 43rd St S, Fargo, ND 58103-3317 Ph: (701) 235-3937	Tracie Malsom, OD 1695 43rd St S, Fargo, ND 58103-3317 Ph: (701) 235-3937

Reviews and Comments

Optometrist in Fargo, ND

Vivid Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3265 45th St S Ste 104, Fargo, ND 58104 Phone: 701-741-2951
Barbra Brigitte Brookshire, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3902 13th Ave S, Fargo, ND 58103 Phone: 701-282-5880 Fax: 701-282-8414
Todd L Metzger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906
Andrew Viet Pham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1801 45th St S, Fargo, ND 58103 Phone: 701-492-3937
Blaine G Zieman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3672
Daniel John Levin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 19th Ave N Ste L&m, Fargo, ND 58102 Phone: 701-365-1150
Dr. Matthew T Sanders, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4344 20th Ave S, # 1, Fargo, ND 58103 Phone: 701-293-8242

Tracie Malsom, OD - Medicare Optometrist in Fargo, ND