Carlo Deantonio, MD is a medicare enrolled "Pediatrics" physician in Chatsworth, California. His current practice location is
9200 Oakdale Ave Ste 100, Chatsworth, California. You can reach out to his office (for appointments etc.) via phone at
(818) 756-6379.
Carlo Deantonio is licensed to practice in California (license number A71700) 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 1811922297.
Physician's Profile
Full Name | Carlo Deantonio |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 9200 Oakdale Ave Ste 100, Chatsworth, California |
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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: 1811922297
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547288938
- Enrollment ID: I20051103000967
Medical Identifiers
Medical identifiers for Carlo Deantonio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811922297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A71700 (California) | 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. Carlo Deantonio allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Carlo Deantonio 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 |
Carlo Deantonio, MD 9200 Oakdale Ave Ste 100, Chatsworth, CA 91311-6505 Ph: (818) 756-6379 | Carlo Deantonio, MD 9200 Oakdale Ave Ste 100, Chatsworth, CA 91311-6505 Ph: (818) 756-6379 |
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