Daisy Tan Antique, MD - Medicare Internal Medicine in Jackson, TN

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Daisy Tan Antique, MD is a medicare enrolled "Internal Medicine" physician in Jackson, Tennessee. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice West Tennessee Healthcare Hospitalists Inc and her current practice location is 708 W Forest Ave, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 660-8759.

Daisy Tan Antique is licensed to practice in Tennessee (license number 39516) 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 1447227939.

Contact Information

Daisy Tan Antique, MD
708 W Forest Ave,
Jackson, TN 38301-3901
(731) 660-8759
(731) 660-8739

Map and Direction




Physician's Profile

Full NameDaisy Tan Antique
GenderFemale
SpecialityInternal Medicine
Experience43 Years
Location708 W Forest Ave, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daisy Tan Antique graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1447227939
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 12/11/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153336854
  • Enrollment ID: I20060216000468

Medical Identifiers

Medical identifiers for Daisy Tan Antique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447227939NPI-NPPES
P00364407OtherRR MEDICARE
3337042MedicaidTN
4118140OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 39516 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Volunteer Community HospitalMartin, TNHospital
Dyersburg Regional Medical CenterDyersburg, TNHospital
Baptist Memorial Hospital Union CityUnion city, TNHospital
Baptist Memorial Hospital - Carroll CountyHuntingdon, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Tennessee Healthcare Hospitalists Inc195173552173

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. Daisy Tan Antique allows following entities to bill medicare on her behalf.
Entity NameWest Tennessee Healthcare Hospitalists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720635188
PECOS PAC ID: 1951735521
Enrollment ID: O20200107003009

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. Daisy Tan Antique 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 AddressPractice Location Address
Daisy Tan Antique, MD
1804 Highway 45 Byp, Suite 604,
Jackson, TN 38305-4436

Ph: (731) 660-8759		Daisy Tan Antique, MD
708 W Forest Ave,
Jackson, TN 38301-3901

Ph: (731) 660-8759

Reviews and Comments


Internal Medicine Doctors in Jackson, TN

John Baker, MD
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Practice Location: 587 Skyline Dr, Jackson, TN 38301
Phone: 731-421-6510    Fax: 731-421-6500
Dr. Susan Alex, M.D.
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Phone: 731-668-4337    Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D.
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Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8336
Kpienoba Manan Hien, M.D
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Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Lucas Carver,
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Medicare: Medicare Enrolled
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Dr. Clyde E Smith, M.D.
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Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    
Brittain Douglas Little, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    Fax: 731-426-0388

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.