Amanda Marie Antonino, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Bozrah, Connecticut. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The William W Backus Hospital and her current practice location is
197 Fitchville Rd, Apt 5, Bozrah, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(186) 028-7270.
Amanda Marie Antonino is licensed to practice in Connecticut (license number 6802) 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 1679012751.
Provider's Profile
| Full Name | Amanda Marie Antonino |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 10 Years |
|---|
| Location | 197 Fitchville Rd, Bozrah, Connecticut |
|---|
| 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:
- Amanda Marie Antonino graduated from nursing school in 2016
NPI Data:
- NPI Number: 1679012751
- Provider Enumeration Date: 02/22/2017
- Last Update Date: 02/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183991664
- Enrollment ID: I20170605002221
Medical Identifiers
Medical identifiers for Amanda Marie Antonino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679012751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 6802 (Connecticut) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 6802 (Connecticut) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The William W Backus Hospital | 0749170645 | 208 |
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. Amanda Marie Antonino allows following entities to bill medicare on her behalf.
| Entity Name | The William W Backus Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
|---|
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. Amanda Marie Antonino 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 |
Amanda Marie Antonino, APRN 197 Fitchville Rd, Apt 5, Bozrah, CT 06334-1135 Ph: (186) 028-7270 | Amanda Marie Antonino, APRN 197 Fitchville Rd, Apt 5, Bozrah, CT 06334-1135 Ph: (186) 028-7270 |
Reviews and Comments