Mr Carl Konieczka, APRN in Watkinsville, GA - Medicare Nurse Practitioner

Mr Carl Konieczka, APRN is a medicare enrolled "Nurse Practitioner - Family" in Watkinsville, Georgia. He went to Emory University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Piedmont Athens Specialty Care Llc and his current practice location is 1305 Jennings Mill Rd Ste 110, Watkinsville, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 613-5880.

Mr Carl Konieczka is licensed to practice in Georgia (license number RN210228) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558705053.

Contact Information

	Mr Carl Konieczka, APRN
	1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241
	(706) 613-5880
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Carl Konieczka
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	1305 Jennings Mill Rd Ste 110, Watkinsville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Carl Konieczka attended and graduated from Emory University School Of Medicine in 2012

NPI Data:

NPI Number: 1558705053
Provider Enumeration Date: 04/26/2013
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7719120526
Enrollment ID: I20130827000267

Medical Identifiers

Medical identifiers for Mr Carl Konieczka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558705053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN210228 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Athens Regional Medical Center	Athens, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Athens Specialty Care Llc	8820349772	102

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. Mr Carl Konieczka allows following entities to bill medicare on his behalf.

Entity Name	Athens-clarke Emergency Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194762237 PECOS PAC ID: 9234029125 Enrollment ID: O20040316000637

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

Entity Name	Piedmont Athens Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273

Entity Name	Athens Clarke Medical Enterprises Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295370542 PECOS PAC ID: 0547698680 Enrollment ID: O20200324000216

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. Mr Carl Konieczka 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
Mr Carl Konieczka, APRN 3875 Jamaica Dr, Jonesboro, GA 30236-5428 Ph: (678) 935-8049	Mr Carl Konieczka, APRN 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 Ph: (706) 613-5880

Reviews and Comments

Nurse Practitioner Nurses in Watkinsville, GA

Christina Nicole Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1361 Jennings Mill Rd Ste 201, Watkinsville, GA 30677 Phone: 706-316-1908
Britanny Dawn Castro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Oak Hill Ct, Watkinsville, GA 30677 Phone: 706-296-0469
Sheryl A Newberry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Barbara L Pruitt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Ms. Ivey Broxton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420
Alexis Brooke Musser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 250, Watkinsville, GA 30677 Phone: 706-475-1700
Mary H Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677 Phone: 706-850-8135

Mr Carl Konieczka, APRN - Medicare Nurse Practitioner in Watkinsville, GA