Amy Lynn Antonich, APNP is a medicare enrolled "Nurse Practitioner - Family" physician in Saint Paul, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Obgyn Of Minnesota Pllc and her current practice location is
17 Exchange St W, Ste 622, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 297-9141.
Amy Lynn Antonich is licensed to practice in Wisconsin (license number 8031-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922519339.
Physician's Profile
Full Name | Amy Lynn Antonich |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 17 Exchange St W, Saint Paul, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amy Lynn Antonich graduated from medical school in 2017
NPI Data:
- NPI Number: 1922519339
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 10/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 7012275159
- Enrollment ID: I20190814000783
Medical Identifiers
Medical identifiers for Amy Lynn Antonich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922519339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 8031-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8031-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Premier Obgyn Of Minnesota Pllc | 1355396110 | 74 |
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. Amy Lynn Antonich allows following entities to bill medicare on her behalf.
Entity Name | Premier Obgyn Of Minnesota Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801946223 PECOS PAC ID: 1355396110 Enrollment ID: O20050315000729 |
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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. Amy Lynn Antonich 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 |
Amy Lynn Antonich, APNP 17 Exchange St W, Ste 622, Saint Paul, MN 55102-1225 Ph: (651) 297-9141 | Amy Lynn Antonich, APNP 17 Exchange St W, Ste 622, Saint Paul, MN 55102-1225 Ph: (651) 297-9141 |
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