| Katy Konkle, MD | |
|
3676 Parker Blvd, Ste 280, Pueblo, CO 81008-2214 | |
| (719) 595-8505 | |
| (719) 595-8509 |
| Full Name | Katy Konkle |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 3676 Parker Blvd, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467749978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | DR.0059044 (Colorado) | Primary |
| 208800000X | Urology | 316047 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison Medical Center | Bremerton, WA | Hospital |
| Providence Seaside Hospital | Seaside, OR | Hospital |
| Olympic Medical Center | Port angeles, WA | Hospital |
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1259 |
| Providence Health And Services Oregon | 1557260106 | 88 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Konkle, MD Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Katy Konkle, MD 3676 Parker Blvd, Ste 280, Pueblo, CO 81008-2214 Ph: (719) 595-8505 |
Christopher Y C Louie, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1619 N Greenwood St, Suit #210, Pueblo, CO 81003 Phone: 719-542-5121 Fax: 719-584-4736 | |
Dr. Hunter Lee Fuentes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4100 Jerry Murphy Rd, Pueblo, CO 81001 Phone: 719-545-9713 Fax: 719-545-6826 |