Jordan Koncinsky, MD, MS in Salt Lake City, UT - Medicare Psychiatry & Neurology

Jordan Koncinsky, MD, MS is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Salt Lake City, Utah. Her current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-5702.

Jordan Koncinsky is licensed to practice in Utah (license number 10964186-1205) 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 1659803294.

Contact Information

	Jordan Koncinsky, MD, MS
	81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125
	(801) 662-5702
	Not Available

Map and Direction

Physician's Profile

Full Name	Jordan Koncinsky
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	81 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659803294
Provider Enumeration Date: 04/03/2017
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2961756689
Enrollment ID: I20221012001923

Medical Identifiers

Medical identifiers for Jordan Koncinsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659803294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	10964186-1205 (Utah)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	10964186-1205 (Utah)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	10964186-1205 (Utah)	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. Jordan Koncinsky allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Jordan Koncinsky 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
Jordan Koncinsky, MD, MS 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: () -	Jordan Koncinsky, MD, MS 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 662-5702

Reviews and Comments

Psychiatry & Neurology Doctors in Salt Lake City, UT

Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121
Lawrence H Climo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Comphealth 4021 South 700 East, Suite 300, Salt Lake City, UT 84107 Phone: 800-453-3030

Jordan Koncinsky, MD, MS - Medicare Psychiatry & Neurology in Salt Lake City, UT