Dr Thompson Thottathil Antony, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in South Miami, Florida. His current practice location is
7031 Sw 62nd Ave, South Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 284-7761.
Dr Thompson Thottathil Antony is licensed to practice in Florida (license number 35113) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336889260.
Physician's Profile
Full Name | Dr Thompson Thottathil Antony |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 7031 Sw 62nd Ave, South Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336889260
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 05/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183006307
- Enrollment ID: I20240109001705
Medical Identifiers
Medical identifiers for Dr Thompson Thottathil Antony such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336889260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 165324 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 35113 (Florida) | 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 Thompson Thottathil Antony allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
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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 Thompson Thottathil Antony 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 Thompson Thottathil Antony, MD 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7761 | Dr Thompson Thottathil Antony, MD 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7761 |
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