Dr Anton Kosov, MD is a medicare enrolled "Internal Medicine" physician in Gravois Mills, Missouri. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lake Regional Health System and his current practice location is
156 Missouri Blvd Ste B, Gravois Mills, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 374-5263.
Dr Anton Kosov is licensed to practice in Missouri (license number 2019024556) 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 1619321817.
Physician's Profile
| Full Name | Dr Anton Kosov |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 13 Years |
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| Location | 156 Missouri Blvd Ste B, Gravois Mills, Missouri |
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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:
- Dr Anton Kosov graduated from medical school in 2011
NPI Data:
- NPI Number: 1619321817
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 07/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 8820324981
- Enrollment ID: I20190726000745
Medical Identifiers
Medical identifiers for Dr Anton Kosov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619321817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2019024556 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Regional Health System | 9133026776 | 80 |
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 Anton Kosov allows following entities to bill medicare on his behalf.
| Entity Name | Lake Regional Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147 |
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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 Anton Kosov 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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Dr Anton Kosov, MD
54 Hospital Dr,
Osage Beach, MO 65065-3050
Ph: (573) 348-8000 | Dr Anton Kosov, MD
156 Missouri Blvd Ste B,
Gravois Mills, MO 65037-5394
Ph: (573) 374-5263 |
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