John Vito Antonucci, MD | |
70 Fulton St, Pontiac, MI 48341-2755 | |
(248) 338-0300 | |
(248) 338-0663 |
Full Name | John Vito Antonucci |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 21 Years |
Location | 70 Fulton St, Pontiac, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619181369 | NPI | - | NPPES |
P01013930 | Other | MI | RAILROAD MEDICARE |
9209246 | Other | MI | AETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES |
200811 | Other | MI | UNITED HEALTHCARE COMMUNITY PLAN |
1046261 | Other | MI | HEALTH PLUS OF MICHIGAN THRU OAKLAND PHYSICIANS NETWORK SERVICES (OPNS) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 4301081739 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Healthcare Professionals Pc | 0345413258 | 451 |
American Oncologic Associates Of Michigan Pc | 3577558980 | 9 |
Entity Name | Michigan Institute Of Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Entity Name | American Oncologic Associates Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104890102 PECOS PAC ID: 3577558980 Enrollment ID: O20040415001236 |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Mailing Address | Practice Location Address |
---|---|
John Vito Antonucci, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | John Vito Antonucci, MD 70 Fulton St, Pontiac, MI 48341-2755 Ph: (248) 338-0300 |
Dr. Henry Huy Khanh Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3266 | |
Dr. Jonathan Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Larry L Kestin, Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Fulton St, Pontiac, MI 48341 Phone: 248-338-0300 Fax: 248-338-0663 | |
Juan Romano Rivera, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Michael I Ghilezan, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Fulton St, Pontiac, MI 48341 Phone: 248-338-0300 Fax: 248-338-0663 | |
Dr. Elizabeth Popovski, M.D. M.SC. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Adam Bruderick, DO Radiology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 248-858-6273 |