Dr Antoine Panossian, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Allentown, Pennsylvania. His current practice location is
1247 S Cedar Crest Blvd, Suite# 300, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 550-6618.
Dr Antoine Panossian is licensed to practice in North Carolina (license number 201201857) 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 1740349448.
Healthcare Provider's Profile
Full Name | Dr Antoine Panossian |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1247 S Cedar Crest Blvd, Allentown, Pennsylvania |
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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: 1740349448
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 2365701794
- Enrollment ID: I20180110003117
Medical Identifiers
Medical identifiers for Dr Antoine Panossian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740349448 | NPI | - | NPPES |
101236155 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS036277 (Pennsylvania) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 201201857 (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. Dr Antoine Panossian 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 |
Dr Antoine Panossian, DMD 4 Rockbourne Rd, Ste 400, Clifton Heights, PA 19018-1739 Ph: (484) 461-0128 | Dr Antoine Panossian, DMD 1247 S Cedar Crest Blvd, Suite# 300, Allentown, PA 18103-6298 Ph: (484) 550-6618 |
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