Dr Ivan Antonevich, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in New Hartford, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Slocum Dickson Medical Group Pllc and 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 | Pain Management |
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| Experience | 30 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 graduated from medical school in 1994
NPI Data:
- NPI Number: 1043256118
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 6709778392
- Enrollment ID: I20040329000106
Medical Identifiers
Medical identifiers for Dr Ivan Antonevich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Slocum Dickson Medical Group Pllc | 5799778510 | 106 |
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 Ivan Antonevich allows following entities to bill medicare on his behalf.
| Entity Name | Slocum Dickson Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285625996
PECOS PAC ID: 5799778510
Enrollment ID: O20040407000427 |
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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 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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