Dr Leonardo Miguel Antaris, MD is a medicare enrolled "Ophthalmology" physician in Davenport, Iowa. He went to Northwestern University Feinberg Medical School and graduated in 1977 and has 47 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
1230 E Rusholme St, Suite 107, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at
(563) 326-8181.
Dr Leonardo Miguel Antaris is licensed to practice in Iowa (license number 27394) 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 1679541973.
Physician's Profile
| Full Name | Dr Leonardo Miguel Antaris |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 47 Years |
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| Location | 1230 E Rusholme St, Davenport, Iowa |
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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 Leonardo Miguel Antaris attended and graduated from Northwestern University Feinberg Medical School in 1977
NPI Data:
- NPI Number: 1679541973
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 06/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 1658267687
- Enrollment ID: I20040226000102
Medical Identifiers
Medical identifiers for Dr Leonardo Miguel Antaris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679541973 | NPI | - | NPPES |
| 0293464 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 27394 (Iowa) | Primary |
| 207W00000X | Ophthalmology | 036092359 (Illinois) | Secondary |
Medical Facilities Affiliation
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 Leonardo Miguel Antaris allows following entities to bill medicare on his behalf.
| Entity Name | Quad Cities Retina Consultants |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952567794
PECOS PAC ID: 4183510217
Enrollment ID: O20040225001027 |
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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 Leonardo Miguel Antaris 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 Leonardo Miguel Antaris, MD
1230 E Rusholme St, Suite 107,
Davenport, IA 52803-2400
Ph: (563) 326-8181 | Dr Leonardo Miguel Antaris, MD
1230 E Rusholme St, Suite 107,
Davenport, IA 52803-2400
Ph: (563) 326-8181 |
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