Michael Antoniolli, MD - Medicare Emergency Medicine in Detroit, MI

Michael Antoniolli, MD is a medicare enrolled "Emergency Medicine" physician in Detroit, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Dupage Emergency Physicians Ltd, Dupage Emergency Physicians Convenient Care Llc and his current practice location is 4201 Saint Antoine St, 6g Uhc, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 993-2530.

Michael Antoniolli is licensed to practice in Michigan (license number 4301101315) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780930248.

Contact Information

Michael Antoniolli, MD
4201 Saint Antoine St, 6g Uhc,
Detroit, MI 48201-2153
(313) 993-2530
Not Available

Map and Direction




Physician's Profile

Full NameMichael Antoniolli
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Antoniolli graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1780930248
  • Provider Enumeration Date: 08/01/2012
  • Last Update Date: 08/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5890009310
  • Enrollment ID: I20150728005814

Medical Identifiers

Medical identifiers for Michael Antoniolli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780930248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301101315 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Good Samaritan HospitalDowners grove, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Emergency Physicians Ltd650785428822
Dupage Emergency Physicians Convenient Care Llc660884004621

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. Michael Antoniolli allows following entities to bill medicare on his behalf.
Entity NameDupage Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255323481
PECOS PAC ID: 6507854288
Enrollment ID: O20040503000606
Entity NameDupage Emergency Physicians Convenient Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922000363
PECOS PAC ID: 6608840046
Enrollment ID: O20040823000566

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. Michael Antoniolli 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
Michael Antoniolli, MD
4201 Saint Antoine St, 6g Uhc,
Detroit, MI 48201-2153

Ph: () -
Michael Antoniolli, MD
4201 Saint Antoine St, 6g Uhc,
Detroit, MI 48201-2153

Ph: (313) 993-2530

Reviews and Comments


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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.