Megan E Konopacke, is a medicare enrolled "Nurse Practitioner - Family" in Paradise, Utah. Her current practice location is
8530 S 500 W, Paradise, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 938-6125.
Megan E Konopacke is licensed to practice in Utah (license number 12769250-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255075891.
Provider's Profile
Full Name | Megan E Konopacke |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8530 S 500 W, Paradise, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255075891
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517496680
- Enrollment ID: I20250120000352
Medical Identifiers
Medical identifiers for Megan E Konopacke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255075891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 12769250-4405 (Utah) | Primary |
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. Megan E Konopacke allows following entities to bill medicare on her behalf.
Entity Name | Levo Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740865526 PECOS PAC ID: 2264961390 Enrollment ID: O20250117002866 |
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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. Megan E Konopacke 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 |
Megan E Konopacke, 175 E 100 N # B, Logan, UT 84321-4601 Ph: (435) 755-0439 | Megan E Konopacke, 8530 S 500 W, Paradise, UT 84328-7701 Ph: (435) 938-6125 |
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