Mr John Willis Konkel, LPC is a medicare enrolled "Counselor - Professional" provider in Nassawadox, Virginia. His current practice location is
10129 Rogers Drive, Nassawadox, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 442-3636.
Mr John Willis Konkel is licensed to practice in Virginia (license number 0701006645) 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 1649726522.
Healthcare Provider's Profile
Full Name | Mr John Willis Konkel |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 10129 Rogers Drive, Nassawadox, Virginia |
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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: 1649726522
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103263074
- Enrollment ID: I20240327002275
Medical Identifiers
Medical identifiers for Mr John Willis Konkel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649726522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0701006645 (Virginia) | 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. Mr John Willis Konkel allows following entities to bill medicare on his behalf.
Entity Name | Eastern Shore Community Mh Mr Sas Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154411510 PECOS PAC ID: 8729185095 Enrollment ID: O20070521000579 |
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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. Mr John Willis Konkel 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 |
Mr John Willis Konkel, LPC Po Box 453, Nassawadox, VA 23413-0453 Ph: (757) 442-3636 | Mr John Willis Konkel, LPC 10129 Rogers Drive, Nassawadox, VA 23413 Ph: (757) 442-3636 |
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