Dr Mariya Kononenko, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. Her current practice location is
1468 Madison Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 241-6500.
Dr Mariya Kononenko is licensed to practice in * (Not Available) (license number ) 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 1194352781.
Physician's Profile
Full Name | Dr Mariya Kononenko |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1468 Madison Ave, New York, New York |
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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: 1194352781
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 05/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496118291
- Enrollment ID: I20230828000512
Medical Identifiers
Medical identifiers for Dr Mariya Kononenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194352781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 314774 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Mariya Kononenko allows following entities to bill medicare on her behalf.
Entity Name | Memorial Medical Consultation Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372 |
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Entity Name | Memorial Solid Tumor Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699746172 PECOS PAC ID: 4082503354 Enrollment ID: O20040313000668 |
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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 Mariya Kononenko 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 Mariya Kononenko, MD 17 E 102nd St, New York, NY 10029-5204 Ph: (212) 659-8551 | Dr Mariya Kononenko, MD 1468 Madison Ave, New York, NY 10029-6508 Ph: (212) 241-6500 |
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