Stanley John Konieczny Iii, DO in Worcester, MA

Stanley John Konieczny Iii, DO is a medicare enrolled "Anesthesiology" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-3271.

Stanley John Konieczny Iii is licensed to practice in Massachusetts (license number 292975) 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 1578095758.

Contact Information

	Stanley John Konieczny Iii, DO
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 334-3271
	(508) 856-5911

Map and Direction

Physician's Profile

Full Name	Stanley John Konieczny Iii
Gender	Male
Speciality	Anesthesiology
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578095758
Provider Enumeration Date: 03/28/2017
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8123392503
Enrollment ID: I20220808002828

Medical Identifiers

Medical identifiers for Stanley John Konieczny Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578095758	NPI	-	NPPES
110126297A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	292975 (Massachusetts)	Secondary
207L00000X	Anesthesiology	292975 (Massachusetts)	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. Stanley John Konieczny Iii allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196

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. Stanley John Konieczny Iii 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
Stanley John Konieczny Iii, DO Po Box 415348, Boston, MA 02241-5348 Ph: () -	Stanley John Konieczny Iii, DO 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3271

Reviews and Comments

Anesthesiology Doctors in Worcester, MA

Layla Fakhrzadeh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911
Yoonyie Cho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Ashley E Gabrielsen, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Dr. Sergio Zendejas, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 Fax: 508-334-8235
Antranig Kalaydjian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 370, Worcester, MA 01608 Phone: 508-964-5580 Fax: 508-368-3143
James Savage Iv, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Sudershan Singla, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Anesthesiology, Worcester, MA 01605 Phone: 508-334-5897 Fax: 508-334-5179

Stanley John Konieczny Iii, DO - Medicare Anesthesiology in Worcester, MA