Kevin Len Wacasey, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K3519 Issued in TX

Practice address

6400 Colleyville Blvd
Colleyville, TX 76034-6444

Phone

(817) 416-6111

Fax

(866) 929-9602

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692

  General Practice

  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Pollok, TX
  • NPI 1225117567
  NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  NPD (past)
• Amarillo Emergency Physicians LLP

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1265473912
  NPD (past)
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904
  NPD (past)
• Deer Land Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Pampa, TX
  • NPI 1447543707
  NPD (past)
• Howard Emergency Medicine Associates PA.

  • Nurse Practitioner
  • Big Spring, TX
  • NPI 1609972447

  Emergency Medicine

  NPD (past)
• Perc Emergency Physicians

  • Emergency Medicine Physician
  • Hurst, TX
  • NPI 1487841011
  NPD (past)
• Republic Emergency Services PA

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1104875624
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1902825946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346444",
            "telephone_number": "817-416-6111",
            "fax_number": "866-929-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346444",
            "telephone_number": "817-416-6111",
            "fax_number": "866-929-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACASEY",
        "first_name": "KEVIN",
        "middle_name": "LEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K3519",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "K3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariaa Annette Villarreal, MS, LPC
• John M Vinings, D.D.S.
• Vitology Health Clinic, PLLC
• Nikki Vu
• Vuja de Aesthetics
• Wadley Pediatrics, PA
• Andrea L Wadley, MD
• Robin M Waggoner, MA, LCDC
• Wal-Mart Stores Texas LLC
• Walgreen Co

• General Practice Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.