Dr Eileen M Travers Concannon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chester, New Jersey. Her current practice location is
34 Willow Dr, Chester, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 625-5187.
Dr Eileen M Travers Concannon is licensed to practice in New Jersey (license number 25MA03766300) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396833471.
Physician's Profile
Full Name | Dr Eileen M Travers Concannon |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 34 Willow Dr, Chester, New Jersey |
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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: 1396833471
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 10/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 4385639376
- Enrollment ID: I20101102000230
Medical Identifiers
Medical identifiers for Dr Eileen M Travers Concannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396833471 | NPI | - | NPPES |
0291404 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 25MA03766300 (New Jersey) | 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 Eileen M Travers Concannon allows following entities to bill medicare on her behalf.
Entity Name | West Side Radiology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568519833 PECOS PAC ID: 3274424270 Enrollment ID: O20040322000006 |
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Entity Name | Lenox Hill Radiology & Medical Imaging Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821036807 PECOS PAC ID: 2264424712 Enrollment ID: O20040402000403 |
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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 Eileen M Travers Concannon 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 Eileen M Travers Concannon, MD 560 S Broadway, Hicksville, NY 11801-5013 Ph: (516) 933-2200 | Dr Eileen M Travers Concannon, MD 34 Willow Dr, Chester, NJ 07930-2812 Ph: (908) 625-5187 |
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