| Ron Konecke, MD | |
|
190 Welles St, Forty Fort, PA 18704-4968 | |
| (570) 288-0400 | |
| (570) 288-1677 |
| Full Name | Ron Konecke |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 190 Welles St, Forty Fort, 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 |
|---|---|---|---|
| 1558397471 | NPI | - | NPPES |
| 000911193 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD029092E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Physician Network Llc | 2668696592 | 62 |
| Scranton Hospitalist Physician Services Llc | 7719163831 | 24 |
| Entity Name | Delta Medix Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396701876 PECOS PAC ID: 0648162636 Enrollment ID: O20040325001062 |
| Entity Name | Foundation Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740482686 PECOS PAC ID: 3779683537 Enrollment ID: O20070709000274 |
| Entity Name | Commonwealth Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 |
| Entity Name | Highlands Hospital And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467078667 PECOS PAC ID: 2769460757 Enrollment ID: O20200722000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Ron Konecke, MD 610 Wyoming Ave, Kingston, PA 18704-3702 Ph: (570) 288-5441 | Ron Konecke, MD 190 Welles St, Forty Fort, PA 18704-4968 Ph: (570) 288-0400 |
Andrew T Turrisi Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Forty Fort, PA 18704 Phone: 570-714-8686 Fax: 570-714-8666 | |
Nareshkumar Ramniklal Shah, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Forty Fort, PA 18704 Phone: 570-288-2400 Fax: 570-288-1677 |