William John Antognoli, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Peckville, Pennsylvania. William John Antognoli is licensed to practice in Pennsylvania (license number MD028396L) and his current practice location is 613 Main Street, Peckville, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 489-0033.
NPI number for William John Antognoli is 1396140505 and his current mailing address is 613 Main St, Peckville, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396140505.
Physician's Profile
Full Name | William John Antognoli |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 613 Main Street, Peckville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396140505
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 10/30/2014
Medical Identifiers
Medical identifiers for William John Antognoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396140505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD028396L (Pennsylvania) | Primary |
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. William John Antognoli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
William John Antognoli, MD 613 Main St, Peckville, PA 18452-2303 Ph: (570) 489-0033 | William John Antognoli, MD 613 Main Street, Peckville, PA 18452 Ph: (570) 489-0033 |
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