Ms Nicole Michelle Antonio, MD in Colton, CA

Ms Nicole Michelle Antonio, MD is a medicare enrolled "Pediatrics" physician in Colton, California. Her current practice location is 1300 E Cooley Dr, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 370-4100.

Ms Nicole Michelle Antonio is licensed to practice in California (license number A103315) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730398595.

Contact Information

	Ms Nicole Michelle Antonio, MD
	1300 E Cooley Dr, Colton, CA 92324-3905
	(909) 370-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Ms Nicole Michelle Antonio
Gender	Female
Speciality	Pediatrics
Location	1300 E Cooley Dr, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730398595
Provider Enumeration Date: 05/21/2007
Last Update Date: 02/01/2018

Medicare PECOS Information:

PECOS PAC ID: 3274686001
Enrollment ID: I20090727000686

Medical Identifiers

Medical identifiers for Ms Nicole Michelle Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730398595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A103315 (California)	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. Ms Nicole Michelle Antonio allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

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. Ms Nicole Michelle Antonio 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
Ms Nicole Michelle Antonio, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Ms Nicole Michelle Antonio, MD 1300 E Cooley Dr, Colton, CA 92324-3905 Ph: (909) 370-4100

Reviews and Comments

Pediatrics Doctors in Colton, CA

Dr. Anita Dian Barringham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-1438
Saowarat S Chai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2511 Fax: 909-580-6361
Dr. Laura Lynn Chang Strauss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3380 Fax: 909-580-6361
Dr. Bruce Anthony Reddix, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N. Pepper Ave., Colton, CA 92324 Phone: 909-580-3380
Mrs. Marilou C Encarnacion, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Department Of Pediatrics, Colton, CA 92324 Phone: 909-580-6315 Fax: 909-580-6361
Ms. Lizette Calingasan Sistoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-3443
Genesis Michel Zamora, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 308 N La Cadena Dr, Colton, CA 92324 Phone: 909-321-4700

Ms Nicole Michelle Antonio, MD - Medicare Pediatrics in Colton, CA