Dr Peter Stephen Konchak, DO is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Atlantic City, New Jersey. His current practice location is
7 S Ohio Ave Ste 2200, Atlantic City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 404-3830.
Dr Peter Stephen Konchak is licensed to practice in New Jersey (license number 25MB06099100) 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 1669452025.
Physician's Profile
| Full Name | Dr Peter Stephen Konchak |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
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| Location | 7 S Ohio Ave Ste 2200, Atlantic City, 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. |
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NPI Data:
- NPI Number: 1669452025
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850384637
- Enrollment ID: I20210312000168
Medical Identifiers
Medical identifiers for Dr Peter Stephen Konchak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669452025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 25MB06099100 (New Jersey) | Primary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 5101007972 (Michigan) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 20A21313 (California) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 0102208258 (Virginia) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | C2-0023872 (Delaware) | Secondary |
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 Peter Stephen Konchak allows following entities to bill medicare on his behalf.
| Entity Name | Bayhealth Medical Center, Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1467546135
PECOS PAC ID: 1658364740
Enrollment ID: O20160516002240 |
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| Entity Name | Bayhealth Medical Center, Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1023006434
PECOS PAC ID: 1658364740
Enrollment ID: O20160527000094 |
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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 Peter Stephen Konchak 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 |
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Dr Peter Stephen Konchak, DO
9300 Valley Childrens Pl # Sc05,
Madera, CA 93636-8761
Ph: (559) 353-6700 | Dr Peter Stephen Konchak, DO
7 S Ohio Ave Ste 2200,
Atlantic City, NJ 08401-6711
Ph: (609) 404-3830 |
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