Nellie Konnikov, MD in Boston, MA - Medicare Dermatology

Nellie Konnikov, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Boston, Massachusetts. Her current practice location is 150 S Hungtington Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 364-4757.

Nellie Konnikov is licensed to practice in Massachusetts (license number 50447) 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 1376646638.

Contact Information

	Nellie Konnikov, MD
	150 S Hungtington Ave, Boston, MA 02130
	(857) 364-4757
	(857) 364-6604

Map and Direction

Physician's Profile

Full Name	Nellie Konnikov
Gender	Female
Speciality	Dermatology - Procedural Dermatology
Location	150 S Hungtington Ave, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376646638
Provider Enumeration Date: 09/05/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911954680
Enrollment ID: I20160628002204

Medical Identifiers

Medical identifiers for Nellie Konnikov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376646638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	(Massachusetts)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	50447 (Massachusetts)	Primary

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. Nellie Konnikov 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
Nellie Konnikov, MD 150 S Hungtington St, Boston, MA 02130 Ph: (857) 364-4757	Nellie Konnikov, MD 150 S Hungtington Ave, Boston, MA 02130 Ph: (857) 364-4757

Reviews and Comments

Dermatology Doctors in Boston, MA

Erica Dommasch, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Shapiro 2, Boston, MA 02215 Phone: 617-667-3753
Dr. Chantal Louise Cotter, MB BCH BAO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6117
Dr. John J Croke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany St, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289
Dr. Debjani Sahni, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289
Dr. Joseph C Kvedar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Staniford St, Suite 200, Boston, MA 02114 Phone: 617-726-2914 Fax: 617-724-2135
Dr. David Attar Hashemi, MD, MBA Dermatology Medicare: Medicare Enrolled Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 617-726-2914
Dr. Emily Stamell Ruiz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 450 Brookline Ave, Boston, MA 02215 Phone: 617-732-5500

Nellie Konnikov, MD - Medicare Dermatology in Boston, MA