B Konnikow Physician Pc - Medicare Mental Health Clinic in Forest Hills, NY

B Konnikow Physician Pc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Forest Hills, New York. The current practice location for B Konnikow Physician Pc is 11020 71st Rd, #104, Forest Hills, New York. For appointments, you can reach them via phone at (718) 263-3355. The mailing address for B Konnikow Physician Pc is 7636 113th St, 5b, Forest Hills, New York and phone number is (718) 263-3355.

B Konnikow Physician Pc is licensed to practice in New York (license number 204106). The clinic also participates in the medicare program and its NPI number is 1083887913. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 263-3355.

Contact Information

B Konnikow Physician Pc
11020 71st Rd
#104
Forest Hills
NY 11375-4945
(718) 263-3355
(718) 263-3373

Mental Health Clinic Profile

Full NameB Konnikow Physician Pc
SpecialityPsychiatry & Neurology
Location11020 71st Rd, Forest Hills, New York
Authorized Official Name and PositionBoris A Konnikow (PRESIDENT)
Authorized Official Contact7182633355
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
B Konnikow Physician Pc
7636 113th St
5b
Forest Hills
NY 11375-6513

Ph: (718) 263-3355
B Konnikow Physician Pc
11020 71st Rd
#104
Forest Hills
NY 11375-4945

Ph: (718) 263-3355

NPI Details:

NPI Number1083887913
Provider Enumeration Date04/11/2008
Last Update Date04/14/2008

Medicare PECOS Information:

Medicare PECOS PAC ID9436055951
Medicare Enrollment IDO20031208000364

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Medical Identifiers

Medical identifiers for B Konnikow Physician Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083887913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 204106 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. B Konnikow Physician Pc acts as a billing entity for following providers:
Provider NameBoris A Konnikow
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841281540
PECOS PAC ID: 1658277181
Enrollment ID: I20031210000193

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Psychiatry & Neurology in Forest Hills, NY

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Medicare: Medicare Enrolled
Practice Location: 6 Station Square, Office On Street Level, Forest Hills, NY 11375
Phone: 718-268-8081    Fax: 718-268-2281
Yes Psychotherapy Services Lcsw Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10915 Queens Blvd, Ll, Forest Hills, NY 11375
Phone: 718-896-5615    Fax: 718-576-2693
Ezday Adult Day Care
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11714 Queens Blvd, 2nd Fl, Forest Hills, NY 11375
Phone: 718-575-8191    Fax: 718-575-8193
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Medicare: Not Enrolled in Medicare
Practice Location: 118-35 Queens Blvd., Suite 1403, Forest Hills, NY 11375
Phone: 718-268-6600    
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Practice Location: 7050 Austin St, 113 Lower Level, Forest Hills, NY 11375
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Medicare: Not Enrolled in Medicare
Practice Location: 7235 112th St Ste Pr1, Forest Hills, NY 11375
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