Dr Andrew C Antill, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Tulsa, Oklahoma. His current practice location is
4735 E 91st St Ste 200, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 794-4788.
Dr Andrew C Antill is licensed to practice in Oklahoma (license number 41848) 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 1457748980.
Physician's Profile
Full Name | Dr Andrew C Antill |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 4735 E 91st St Ste 200, Tulsa, Oklahoma |
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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: 1457748980
- Provider Enumeration Date: 04/22/2015
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870899958
- Enrollment ID: I20230926003198
Medical Identifiers
Medical identifiers for Dr Andrew C Antill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457748980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 01087036A (Indiana) | Secondary |
208C00000X | Colon & Rectal Surgery | 41848 (Oklahoma) | 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. Dr Andrew C Antill allows following entities to bill medicare on his behalf.
Entity Name | Warren Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
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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. Dr Andrew C Antill 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 |
Dr Andrew C Antill, MD 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: () - | Dr Andrew C Antill, MD 4735 E 91st St Ste 200, Tulsa, OK 74137-2806 Ph: (918) 794-4788 |
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