Sarah Antalis, MD is a medicare enrolled "Emergency Medicine" physician in W Lafayette, Indiana. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Arnett Clinic Llc and her current practice location is
253 Sagamore Pkwy W, W Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 448-8000.
Sarah Antalis is licensed to practice in Indiana (license number 01069600A) 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 1407883960.
Physician's Profile
Full Name | Sarah Antalis |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 22 Years |
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Location | 253 Sagamore Pkwy W, W Lafayette, Indiana |
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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. |
Medical Education and Training:
- Sarah Antalis attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2003
NPI Data:
- NPI Number: 1407883960
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608874979
- Enrollment ID: I20110817000062
Medical Identifiers
Medical identifiers for Sarah Antalis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407883960 | NPI | - | NPPES |
000001016017 | Other | IN | ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653 |
201028020 | Medicaid | IN | |
588907-11 | Medicaid | HI | |
000000719631 | Other | IN | ANTHEM PROVIDER NUMBER |
00A0261717 | Other | HI | HMSA BILLING NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01069600A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01069600A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arnett Clinic Llc | 0749184380 | 382 |
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. Sarah Antalis allows following entities to bill medicare on her behalf.
Entity Name | Arnett Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
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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. Sarah Antalis 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 |
Sarah Antalis, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: () - | Sarah Antalis, MD 253 Sagamore Pkwy W, W Lafayette, IN 47906-1501 Ph: (765) 448-8000 |
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