Angela Anthony, FNP-BC is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Port St John, Florida. Her current practice location is
5005 Port St John Pkwy, Port St John, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 633-8640.
Angela Anthony is licensed to practice in Florida (license number 11000070) 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 1528520749.
Physician's Profile
Full Name | Angela Anthony |
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Gender | Female |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 5005 Port St John Pkwy, Port St John, Florida |
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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: 1528520749
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911344254
- Enrollment ID: I20240322001808
Medical Identifiers
Medical identifiers for Angela Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528520749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 11000070 (Florida) | Primary |
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. Angela Anthony allows following entities to bill medicare on her behalf.
Entity Name | North Brevard Medical Support Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
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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. Angela Anthony 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 |
Angela Anthony, FNP-BC 1158 Meadow Lark Dr, Titusville, FL 32780-7213 Ph: () - | Angela Anthony, FNP-BC 5005 Port St John Pkwy, Port St John, FL 32927-4305 Ph: (321) 633-8640 |
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