Konstantin Mergold, in New York, NY - Medicare Nurse Practitioner

Konstantin Mergold, is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. His current practice location is 120 E 16th St Fl 6, New York, New York. You can reach out to his office (for appointments etc.) via phone at (800) 881-5101.

Konstantin Mergold is licensed to practice in New York (license number 342597) 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 1417443151.

Contact Information

	Konstantin Mergold,
	120 E 16th St Fl 6, New York, NY 10003-2162
	(800) 881-5101
	Not Available

Map and Direction

Provider's Profile

Full Name	Konstantin Mergold
Gender	Male
Speciality	Nurse Practitioner - Family
Location	120 E 16th St Fl 6, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417443151
Provider Enumeration Date: 07/05/2018
Last Update Date: 07/05/2018

Medicare PECOS Information:

PECOS PAC ID: 4486084761
Enrollment ID: I20200429001297

Medical Identifiers

Medical identifiers for Konstantin Mergold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417443151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	342597 (New York)	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. Konstantin Mergold 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
Konstantin Mergold, 2630 Cropsey Ave Apt 6k, Brooklyn, NY 11214-6721 Ph: () -	Konstantin Mergold, 120 E 16th St Fl 6, New York, NY 10003-2162 Ph: (800) 881-5101

Reviews and Comments

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Konstantin Mergold, - Medicare Nurse Practitioner in New York, NY