Nellie Konnikov, MD - Medicare Dermatology in Boston, MA

Nellie Konnikov, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Boston, Massachusetts. Her current practice location is 150 S Hungtington Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 364-4757.

Nellie Konnikov is licensed to practice in Massachusetts (license number 50447) 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 1376646638.

Contact Information

Nellie Konnikov, MD
150 S Hungtington Ave,
Boston, MA 02130
(857) 364-4757
(857) 364-6604



Physician's Profile

Full NameNellie Konnikov
GenderFemale
SpecialityDermatology - Procedural Dermatology
Location150 S Hungtington Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376646638
  • Provider Enumeration Date: 09/05/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911954680
  • Enrollment ID: I20160628002204

Medical Identifiers

Medical identifiers for Nellie Konnikov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376646638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology (Massachusetts)Secondary
207NS0135XDermatology - Procedural Dermatology 50447 (Massachusetts)Primary

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. Nellie Konnikov 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 AddressPractice Location Address
Nellie Konnikov, MD
150 S Hungtington St,
Boston, MA 02130

Ph: (857) 364-4757
Nellie Konnikov, MD
150 S Hungtington Ave,
Boston, MA 02130

Ph: (857) 364-4757

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› Verified 5 days ago


Dermatology Doctors in Boston, MA

Erica Dommasch, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 330 Brookline Ave, Shapiro 2, Boston, MA 02215
Phone: 617-667-3753    
Dr. Chantal Louise Cotter, MB BCH BAO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Longwood Ave, Boston, MA 02115
Phone: 617-355-6117    
Dr. John J Croke, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 725 Albany St, Shapiro 8, Boston, MA 02118
Phone: 617-638-7420    Fax: 617-638-7289
Dr. Debjani Sahni, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 725 Albany Street, Shapiro 8, Boston, MA 02118
Phone: 617-638-7420    Fax: 617-638-7289
Dr. Joseph C Kvedar, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 50 Staniford St, Suite 200, Boston, MA 02114
Phone: 617-726-2914    Fax: 617-724-2135
Ryan Char Kelm,
Dermatology
Medicare: Medicare Enrolled
Practice Location: 50 Staniford St # 250, Boston, MA 02114
Phone: 617-724-6960    
Dr. David Attar Hashemi, MD, MBA
Dermatology
Medicare: Medicare Enrolled
Practice Location: 50 Staniford St, Boston, MA 02114
Phone: 617-726-2914    

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