Dr Sandra Ana Antonovic, MD in Tigard, OR

Dr Sandra Ana Antonovic, MD is a medicare enrolled "Pediatrics" physician in Tigard, Oregon. Her current practice location is 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-9140.

Dr Sandra Ana Antonovic is licensed to practice in Oregon (license number MD23792) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184773319.

Contact Information

	Dr Sandra Ana Antonovic, MD
	12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-0804
	(503) 216-9140
	(503) 216-9145

Map and Direction

Physician's Profile

Full Name	Dr Sandra Ana Antonovic
Gender	Female
Speciality	Pediatrics
Location	12442 Sw Scholls Ferry Rd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184773319
Provider Enumeration Date: 01/09/2007
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 9032335922
Enrollment ID: I20140730000710

Medical Identifiers

Medical identifiers for Dr Sandra Ana Antonovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184773319	NPI	-	NPPES
272420	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD23792 (Oregon)	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 Sandra Ana Antonovic allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

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 Sandra Ana Antonovic 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 Sandra Ana Antonovic, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Dr Sandra Ana Antonovic, MD 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-0804 Ph: (503) 216-9140

Reviews and Comments

Pediatrics Doctors in Tigard, OR

Margaret Allison Baynham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7213 Sw Hazelfern Rd, Tigard, OR 97224 Phone: 503-214-2064 Fax: 503-598-3600
Leila Hotaki Mesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 Phone: 503-216-9140
Kirsten Crowley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223 Phone: 503-216-9140 Fax: 503-216-9145
Carol Lynn Schriner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-221-4451
Dr. Zaid Saad Al-mulla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 300, Tigard, OR 97223 Phone: 503-466-1779 Fax: 503-598-9030
Sarah A Leffler Wagoner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 Phone: 503-216-9140

Dr Sandra Ana Antonovic, MD - Medicare Pediatrics in Tigard, OR