Mr David Anthony Konzem, PA-C in Riverside, CA - Medicare Physician Assistant

Mr David Anthony Konzem, PA-C is a medicare enrolled "Physician Assistant" in Riverside, California. His current practice location is 2880 Hulen Pl, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 715-3445.

Mr David Anthony Konzem is licensed to practice in North Carolina (license number 0010-07561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043641822.

Contact Information

	Mr David Anthony Konzem, PA-C
	2880 Hulen Pl, Riverside, CA 92507-2606
	(951) 715-3445
	Not Available

Provider's Profile

Full Name	Mr David Anthony Konzem
Gender	Male
Speciality	Physician Assistant
Location	2880 Hulen Pl, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043641822
Provider Enumeration Date: 12/04/2013
Last Update Date: 03/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4284912353
Enrollment ID: I20180306001065

Medical Identifiers

Medical identifiers for Mr David Anthony Konzem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043641822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA51287 (California)	Secondary
363A00000X	Physician Assistant	0010-07561 (North Carolina)	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. Mr David Anthony Konzem 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
Mr David Anthony Konzem, PA-C 2880 Hulen Pl, Riverside, CA 92507-2606 Ph: () -	Mr David Anthony Konzem, PA-C 2880 Hulen Pl, Riverside, CA 92507-2606 Ph: (951) 715-3445

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Mr David Anthony Konzem, PA-C - Medicare Physician Assistant in Riverside, CA