Dr Peter Donald Koplyay, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lakeway, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1992 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Scott And White Clinic and his current practice location is
100 Medical Pkwy, Lakeway, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 571-5000.
Dr Peter Donald Koplyay is licensed to practice in Texas (license number J4275) 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 1770516197.
Physician's Profile
| Full Name | Dr Peter Donald Koplyay |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 32 Years |
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| Location | 100 Medical Pkwy, Lakeway, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter Donald Koplyay attended and graduated from University Of Texas Medical School At San Antonio in 1992
NPI Data:
- NPI Number: 1770516197
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789641085
- Enrollment ID: I20170126002044
Medical Identifiers
Medical identifiers for Dr Peter Donald Koplyay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770516197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 43309 (Colorado) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 23304 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 7323A (Wyoming) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 20357 (Oklahoma) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 9601364 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | J4275 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scott And White Clinic | 8123923604 | 2143 |
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 Peter Donald Koplyay allows following entities to bill medicare on his behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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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 Peter Donald Koplyay 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 |
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Dr Peter Donald Koplyay, MD
Po Box 844658,
Dallas, TX 75284-4658
Ph: (254) 724-2111 | Dr Peter Donald Koplyay, MD
100 Medical Pkwy,
Lakeway, TX 78738-5621
Ph: (512) 571-5000 |
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