P John Konicki, DO in Bloomington, IN - Medicare Emergency Medicine

P John Konicki, DO is a medicare enrolled "Emergency Medicine" physician in Bloomington, Indiana. His current practice location is 601 W 2nd St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 353-5252.

P John Konicki is licensed to practice in Indiana (license number 02005798A) 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 1336152891.

Contact Information

	P John Konicki, DO
	601 W 2nd St, Bloomington, IN 47403-2317
	(812) 353-5252
	Not Available

Map and Direction

Physician's Profile

Full Name	P John Konicki
Gender	Male
Speciality	Emergency Medicine
Location	601 W 2nd St, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336152891
Provider Enumeration Date: 08/15/2006
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 3577553197
Enrollment ID: I20040515000307

Medical Identifiers

Medical identifiers for P John Konicki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336152891	NPI	-	NPPES
36091309	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	036091309 (Illinois)	Secondary
207P00000X	Emergency Medicine	02005798A (Indiana)	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. P John Konicki allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. P John Konicki 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
P John Konicki, DO 4440 W 95th St, Department Of Emergency Medicine, Oak Lawn, IL 60453-2600 Ph: (708) 684-5354	P John Konicki, DO 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-5252

Reviews and Comments

Emergency Medicine Doctors in Bloomington, IN

Ronald C Jenson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4794 Red Oak Ln, Bloomington, IN 47401 Phone: 812-396-9620
Dr. Robert Stone, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 514 W 2nd St, Bloomington, IN 47403 Phone: 812-353-3719 Fax: 812-353-3713
Dr. Christina M Cabott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-336-1690 Fax: 812-349-1325
Otar Datiashvili, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515 Fax: 812-353-9275
Dr. John Austin Lee, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515 Fax: 812-353-9275
Dr. Carlyle George Langhorn Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515
Jonathan D Hart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2316

P John Konicki, DO - Medicare Emergency Medicine in Bloomington, IN