Anthony De Angelis, is a medicare enrolled "Plastic Surgery" physician in St Louis Park, Minnesota. He went to University Of Nevada School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Park Nicollet Clinic and his current practice location is
3900 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-3123.
Anthony De Angelis is licensed to practice in Minnesota (license number 41374) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780668897.
Physician's Profile
| Full Name | Anthony De Angelis |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 41 Years |
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| Location | 3900 Park Nicollet Blvd, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anthony De Angelis attended and graduated from University Of Nevada School Of Medicine in 1983
NPI Data:
- NPI Number: 1780668897
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 10/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143365155
- Enrollment ID: I20100302000593
Medical Identifiers
Medical identifiers for Anthony De Angelis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780668897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 41374 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Park Nicollet Clinic | 7911819438 | 1530 |
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. Anthony De Angelis allows following entities to bill medicare on his behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Anthony De Angelis 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 |
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Anthony De Angelis,
6465 Wayzata Blvd, Suite 315,
St Louis Park, MN 55426-1728
Ph: () - | Anthony De Angelis,
3900 Park Nicollet Blvd,
St Louis Park, MN 55416-2503
Ph: (952) 993-3123 |
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