Brian K Konowalchuk, is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Manitowoc, Wisconsin. He went to University Of Minnesota Medical School and graduated in 2000 and has 26 years of diverse experience with area of expertise as Preventive Medicine. His current practice location is
3509 Dewey St, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 686-5732.
Brian K Konowalchuk is licensed to practice in Wisconsin (license number 49755) 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 1104939453.
Physician's Profile
| Full Name | Brian K Konowalchuk |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 26 Years |
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| Location | 3509 Dewey St, Manitowoc, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian K Konowalchuk attended and graduated from University Of Minnesota Medical School in 2000
NPI Data:
- NPI Number: 1104939453
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638120397
- Enrollment ID: I20070109000247
Medical Identifiers
Medical identifiers for Brian K Konowalchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104939453 | NPI | - | NPPES |
| 178445500 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 49755 (Wisconsin) | Primary |
Medical Facilities Affiliation
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. Brian K Konowalchuk allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Entity Name | Baycare Aurora Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579 |
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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. Brian K Konowalchuk 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 |
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Brian K Konowalchuk,
Po Box 735044,
Chicago, IL 60673-5044
Ph: () - | Brian K Konowalchuk,
3509 Dewey St,
Manitowoc, WI 54220-5497
Ph: (920) 686-5732 |
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