Dr Wade Allen Konvalin, OD in Prosper, TX - Medicare Optometry Provider

Dr Wade Allen Konvalin, OD is a medicare enrolled "Optometrist" provider in Prosper, Texas. He went to University Of Houston - College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Med Southwest Pllc and his current practice location is 221 N Preston Rd, Ste B, Prosper, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 347-2020.

Dr Wade Allen Konvalin is licensed to practice in Texas (license number 4286TG) 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 1386642635.

Contact Information

	Dr Wade Allen Konvalin, OD
	221 N Preston Rd, Ste B, Prosper, TX 75078-8792
	(972) 347-2020
	(972) 347-2072

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wade Allen Konvalin
Gender	Male
Speciality	Optometry
Experience	34 Years
Location	221 N Preston Rd, Prosper, Texas
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 Wade Allen Konvalin attended and graduated from University Of Houston - College Of Optometry in 1990

NPI Data:

NPI Number: 1386642635
Provider Enumeration Date: 07/11/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6305847070
Enrollment ID: I20070123000567

Medical Identifiers

Medical identifiers for Dr Wade Allen Konvalin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386642635	NPI	-	NPPES
DQ7835	Other	TX	RAILROAD PTAN
4286TG	Other	TX	OPTOMETRY LICENSE
81503Q	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4286TG (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Med Southwest Pllc	4082952874	177

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 Wade Allen Konvalin allows following entities to bill medicare on his behalf.

Provider Name	Med Southwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481

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 Wade Allen Konvalin 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 Wade Allen Konvalin, OD 221 N Preston Rd, Ste B, Prosper, TX 75078-8792 Ph: (972) 347-2020	Dr Wade Allen Konvalin, OD 221 N Preston Rd, Ste B, Prosper, TX 75078-8792 Ph: (972) 347-2020

Reviews and Comments

Optometrist in Prosper, TX

Eye Gallery Optometrist Medicare: Medicare Enrolled Practice Location: 1170 N Preston Rd, Suite 120, Prosper, TX 75078 Phone: 214-305-4020
Eyexcel Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 401 Gates Parkway., P106, Prosper, TX 75078 Phone: 732-616-8021
Prosper Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 North Preston Road, Suite 30, Prosper, TX 75078 Phone: 972-347-2004 Fax: 972-347-3847
Prosper Vision Associates, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Richland Blvd, Prosper, TX 75078 Phone: 214-308-1879
Lynn Markose, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 N Coleman St Ste 120, Prosper, TX 75078 Phone: 469-850-2920
Eric David Wang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 221 N Preston Rd Ste B, Prosper, TX 75078 Phone: 972-347-2020
Dr. Stacie Anne Van Voorst, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 North Preston Road, Suite 30, Prosper, TX 75078 Phone: 972-347-2004 Fax: 972-347-3847

Dr Wade Allen Konvalin, OD - Medicare Optometrist in Prosper, TX