Precious Antonio, NP is a medicare enrolled "Nurse Practitioner" physician in Wadesboro, North Carolina. Her current practice location is
119 W Wade St, Wadesboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 524-2480.
Precious Antonio is licensed to practice in North Carolina (license number 5017432) 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 1912549874.
Physician's Profile
Full Name | Precious Antonio |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 119 W Wade St, Wadesboro, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912549874
- Provider Enumeration Date: 10/11/2019
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133593536
- Enrollment ID: I20230327001845
Medical Identifiers
Medical identifiers for Precious Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912549874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | AP143504 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 5017432 (North Carolina) | 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. Precious Antonio allows following entities to bill medicare on her behalf.
Entity Name | Liberty Healthcare Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629217856 PECOS PAC ID: 4587574355 Enrollment ID: O20090428000566 |
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Entity Name | Landmark Medical Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326547514 PECOS PAC ID: 0648533414 Enrollment ID: O20180409000358 |
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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. Precious 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 |
Precious Antonio, NP 119 W Wade St, Wadesboro, NC 28170-2136 Ph: (843) 670-8889 | Precious Antonio, NP 119 W Wade St, Wadesboro, NC 28170-2136 Ph: (910) 524-2480 |
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