Dr Benjamin John Konynenbelt, OD in Clearwater, FL

Dr Benjamin John Konynenbelt, OD is a medicare enrolled "Optometrist" provider in Clearwater, Florida. He went to Indiana University - School Of Optometry and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Gulf Coast Optometry Pa, Edison Eye Care Pllc and his current practice location is 2551 Drew St, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 791-1214.

Dr Benjamin John Konynenbelt is licensed to practice in Florida (license number OPC5272) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1114300472.

Contact Information

	Dr Benjamin John Konynenbelt, OD
	2551 Drew St, Clearwater, FL 33765-2839
	(727) 791-1214
	(844) 766-9698

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Benjamin John Konynenbelt
Gender	Male
Speciality	Optometry
Experience	9 Years
Location	2551 Drew St, Clearwater, Florida
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Benjamin John Konynenbelt attended and graduated from Indiana University - School Of Optometry in 2015

NPI Data:

NPI Number: 1114300472
Provider Enumeration Date: 07/06/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0143537654
Enrollment ID: I20170404002840

Medical Identifiers

Medical identifiers for Dr Benjamin John Konynenbelt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114300472	NPI	-	NPPES
019087700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WV0400X	Optometrist - Vision Therapy	3237 (Tennessee)	Secondary
152W00000X	Optometrist	OPC5272 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gulf Coast Optometry Pa	0941359533	50
Edison Eye Care Pllc	4688039514	2

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 Benjamin John Konynenbelt allows following entities to bill medicare on his behalf.

Provider Name	Gulf Coast Optometry Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20090602000109

Provider Name	Southwest Orlando Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295163657 PECOS PAC ID: 9436386927 Enrollment ID: O20131206001327

Provider Name	Edison Eye Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255055646 PECOS PAC ID: 4688039514 Enrollment ID: O20230428001456

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 Benjamin John Konynenbelt 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 Benjamin John Konynenbelt, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Dr Benjamin John Konynenbelt, OD 2551 Drew St, Clearwater, FL 33765-2839 Ph: (727) 791-1214

Reviews and Comments

Optometrist in Clearwater, FL

Eye Doctors Optical Outlets Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2436 State Road 580, Clearwater, FL 33761 Phone: 727-669-8486
Tampa Bay Optometric Group Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 912 S Missouri Ave, Clearwater, FL 33756 Phone: 727-443-7642
N.t. Anderson, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1269 S Missouri Ave, Clearwater, FL 33756 Phone: 727-623-9000
Jay Rosenfeld, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2541 Countryside Blvd, Suite 1, Clearwater, FL 33761 Phone: 727-799-4500 Fax: 727-724-1633
Karla Flores Macias, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 912 S Missouri Ave, Clearwater, FL 33756 Phone: 727-443-6493
Northwood Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2518 N Mcmullen Booth Rd Ste C, Clearwater, FL 33761 Phone: 727-725-5558 Fax: 727-724-3966

Dr Benjamin John Konynenbelt, OD - Medicare Optometrist in Clearwater, FL