Mr Travis C Konzelman, AGNP - Medicare Nurse Practitioner in Augusta, GA

Mr Travis C Konzelman, AGNP is a medicare enrolled "Nurse Practitioner" in Augusta, Georgia. His current practice location is 1350 Walton Way, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 722-9011.

Mr Travis C Konzelman is licensed to practice in Georgia (license number RN199709) 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 1407247158.

Contact Information

Mr Travis C Konzelman, AGNP
1350 Walton Way,
Augusta, GA 30901
(706) 722-9011
Not Available

Map and Direction




Provider's Profile

Full NameMr Travis C Konzelman
GenderMale
SpecialityNurse Practitioner
Location1350 Walton Way, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407247158
  • Provider Enumeration Date: 02/16/2015
  • Last Update Date: 08/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496056434
  • Enrollment ID: I20151217000615

Medical Identifiers

Medical identifiers for Mr Travis C Konzelman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407247158NPI-NPPES
RN199709OtherGAGA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN199709 (Georgia)Secondary
363L00000XNurse Practitioner RN199709 (Georgia)Primary
363LP2300XNurse Practitioner - Primary Care RN199709 (Georgia)Secondary
364SA2100XClinical Nurse Specialist - Acute Care RN199709 (Georgia)Secondary

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 Travis C Konzelman allows following entities to bill medicare on his behalf.
Entity NameGeorgia Em-i Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285682583
PECOS PAC ID: 0446157218
Enrollment ID: O20031218000621
Entity NameAugusta Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518169168
PECOS PAC ID: 6608977251
Enrollment ID: O20070726000065
Entity NameMed Now Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245475771
PECOS PAC ID: 5799835153
Enrollment ID: O20090608000055
Entity NameWrightsboro Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912386038
PECOS PAC ID: 9638483761
Enrollment ID: O20150804003773

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 Travis C Konzelman 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 AddressPractice Location Address
Mr Travis C Konzelman, AGNP
2490 Riverside Dr, Ste B,
Macon, GA 31204-1787

Ph: () -
Mr Travis C Konzelman, AGNP
1350 Walton Way,
Augusta, GA 30901

Ph: (706) 722-9011

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.