Eric Bruce Antonucci, MD is a medicare enrolled "Otolaryngology" physician in Zanesville, Ohio. His current practice location is
2945 Maple Ave, Zanesville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 454-0158.
Eric Bruce Antonucci is licensed to practice in Ohio (license number 35.148423) 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 1053818336.
Physician's Profile
Full Name | Eric Bruce Antonucci |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 2945 Maple Ave, Zanesville, Ohio |
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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: 1053818336
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587010483
- Enrollment ID: I20231030001195
Medical Identifiers
Medical identifiers for Eric Bruce Antonucci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053818336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 35.148423 (Ohio) | 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. Eric Bruce Antonucci allows following entities to bill medicare on his behalf.
Entity Name | Genesis Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
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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. Eric Bruce Antonucci 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 |
Eric Bruce Antonucci, MD 2945 Maple Ave, Zanesville, OH 43701-1762 Ph: (740) 454-0158 | Eric Bruce Antonucci, MD 2945 Maple Ave, Zanesville, OH 43701-1762 Ph: (740) 454-0158 |
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