Dr Thomas William Konowalchuk, MD, JD is a medicare enrolled "General Practice" physician in Newport, Oregon. His current practice location is
1070 Ne 7th Dr, Newport, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 265-3804.
Dr Thomas William Konowalchuk is licensed to practice in Oregon (license number 15049) 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 1679856439.
Physician's Profile
Full Name | Dr Thomas William Konowalchuk |
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Gender | Male |
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Speciality | General Practice |
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Location | 1070 Ne 7th Dr, Newport, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679856439
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 07/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365831393
- Enrollment ID: I20211114000022
Medical Identifiers
Medical identifiers for Dr Thomas William Konowalchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679856439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 15049 (Oregon) | Secondary |
208D00000X | General Practice | 15049 (Oregon) | 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 Thomas William Konowalchuk allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191220002077 |
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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 Thomas William Konowalchuk 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 Thomas William Konowalchuk, MD, JD 1070 Ne 7th Dr, Newport, OR 97365-2518 Ph: (541) 265-3804 | Dr Thomas William Konowalchuk, MD, JD 1070 Ne 7th Dr, Newport, OR 97365-2518 Ph: (541) 265-3804 |
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