Dr Ivan Antonevich, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in New Hartford, New York. His current practice location is
1729 Burrstone Rd, New Hartford, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 798-1567.
Dr Ivan Antonevich is licensed to practice in New York (license number 229252) 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 1043256118.
Physician's Profile
| Full Name | Dr Ivan Antonevich |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1729 Burrstone Rd, New Hartford, New York |
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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 Ivan Antonevich attended and graduated from in
NPI Data:
- NPI Number: 1043256118
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/25/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ivan Antonevich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043256118 | NPI | - | NPPES |
| 2729598-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 229252 (New York) | Primary |
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 Ivan Antonevich 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 Ivan Antonevich, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001
Ph: (315) 798-1567 | Dr Ivan Antonevich, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001
Ph: (315) 798-1567 |
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