| Dr Patrick Thomas Konitzer, MD | |
|
4200 Hospital Rd, Coal Township, PA 17866-9668 | |
| (570) 644-4259 | |
| Not Available |
| Full Name | Dr Patrick Thomas Konitzer |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 29 Years |
| Location | 4200 Hospital Rd, Coal Township, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487745311 | NPI | - | NPPES |
| 1011188400001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20947425 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellspan Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2438 |
| Evangelical Medical Services Organization | 9133033087 | 255 |
| Geisinger Clinic | 5395657001 | 3432 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Lehigh Anesthesia Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Thomas Konitzer, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6144 | Dr Patrick Thomas Konitzer, MD 4200 Hospital Rd, Coal Township, PA 17866-9668 Ph: (570) 644-4259 |