Ewa Antonczyk, MD - Medicare Internal Medicine in Clarksville, TN

Ewa Antonczyk, MD is a medicare enrolled "Internal Medicine" physician in Clarksville, Tennessee. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Clarksville Physician Services Gp and her current practice location is 647 Dunlop Ln, Suite 108, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 502-3660.

Ewa Antonczyk is licensed to practice in Tennessee (license number 46834) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891740270.

Contact Information

Ewa Antonczyk, MD
647 Dunlop Ln, Suite 108,
Clarksville, TN 37040-5165
(931) 502-3660
Not Available

Map and Direction




Physician's Profile

Full NameEwa Antonczyk
GenderFemale
SpecialityInternal Medicine
Experience22 Years
Location647 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ewa Antonczyk attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1891740270
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840215034
  • Enrollment ID: I20111004000781

Medical Identifiers

Medical identifiers for Ewa Antonczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891740270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD2005-0482 (New Mexico)Secondary
207R00000XInternal Medicine 46834 (Tennessee)Primary
207R00000XInternal Medicine ME93992 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Home Health-clarksvilleClarksville, TNHome health agency
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clarksville Physician Services Gp054727691726

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. Ewa Antonczyk allows following entities to bill medicare on her behalf.
Entity NameClarksville Physician Services Gp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083657829
PECOS PAC ID: 0547276917
Enrollment ID: O20060223000133

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. Ewa Antonczyk 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 AddressPractice Location Address
Ewa Antonczyk, MD
647 Dunlop Ln, Suite 108,
Clarksville, TN 37040-5165

Ph: (931) 502-3660
Ewa Antonczyk, MD
647 Dunlop Ln, Suite 108,
Clarksville, TN 37040-5165

Ph: (931) 502-3660

Reviews and Comments


Internal Medicine Doctors in Clarksville, TN

Oba Hashim Hollie, M.D.
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Medicare: Medicare Enrolled
Practice Location: 511 8th St, Clarksville, TN 37040
Phone: 931-245-3580    Fax: 931-201-5868
Jigar Kanubhai Shah, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043
Phone: 931-802-8056    Fax: 931-802-8059
Dr. Fausta Ditah,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040
Phone: 931-502-3810    Fax: 931-502-3815
Nathan Lidsky, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043
Phone: 847-987-2121    
James R Smith, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 344 Peartree Dr, Clarksville, TN 37043
Phone: 931-648-1811    
Dr. Sriram Krishnasamy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043
Phone: 931-542-2647    Fax: 931-542-2648
Vernon M Carrigan, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 490 Dunlop Ln, Clarksville, TN 37040
Phone: 931-245-8300    Fax: 931-245-8360

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.