Lisa Ann Antonczak, APRN is a medicare enrolled "Nurse Practitioner" physician in Boynton Beach, Florida. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Onspot-fl and her current practice location is
23 Pepperwood Ct, Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(330) 717-4013.
Lisa Ann Antonczak is licensed to practice in Florida (license number APRN11000002) 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 1801363411.
Physician's Profile
| Full Name | Lisa Ann Antonczak |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 23 Pepperwood Ct, Boynton Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Ann Antonczak graduated from medical school in 2018
NPI Data:
- NPI Number: 1801363411
- Provider Enumeration Date: 11/01/2018
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123456902
- Enrollment ID: I20200309001953
Medical Identifiers
Medical identifiers for Lisa Ann Antonczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801363411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1000002 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11000002 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Onspot-fl | 3678984937 | 27 |
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. Lisa Ann Antonczak allows following entities to bill medicare on her behalf.
| Entity Name | Onspot-fl |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144827577
PECOS PAC ID: 3678984937
Enrollment ID: O20201118001475 |
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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. Lisa Ann Antonczak 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 |
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Lisa Ann Antonczak, APRN
23 Pepperwood Ct,
Boynton Beach, FL 33426-9351
Ph: (330) 717-4013 | Lisa Ann Antonczak, APRN
23 Pepperwood Ct,
Boynton Beach, FL 33426-9351
Ph: (330) 717-4013 |
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