Anna Antonova, - Medicare Nurse Practitioner in Philadelphia, PA

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Anna Antonova, is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 6501 Harbison Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 333-4300.

Anna Antonova is licensed to practice in Pennsylvania (license number SP028340) 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 1730962952.

Contact Information

Anna Antonova,
6501 Harbison Ave,
Philadelphia, PA 19149-2912
(215) 333-4300
Not Available

Map and Direction




Provider's Profile

Full NameAnna Antonova
GenderFemale
SpecialityNurse Practitioner - Family
Location6501 Harbison Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730962952
  • Provider Enumeration Date: 08/14/2023
  • Last Update Date: 01/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628421419
  • Enrollment ID: I20240129001216

Medical Identifiers

Medical identifiers for Anna Antonova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730962952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP028340 (Pennsylvania)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. Anna Antonova allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881738037
PECOS PAC ID: 5395827307
Enrollment ID: O20080130000250
Entity NameAlegis Care - Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548511017
PECOS PAC ID: 8921231820
Enrollment ID: O20140430000373
Entity NameMinuteclinic Video Virtual Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200429001777
Entity NameEvernorth Care Providers - Delaware Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457138182
PECOS PAC ID: 6002217973
Enrollment ID: O20231211002305

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. Anna Antonova 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 AddressPractice Location Address
Anna Antonova,
2263 Plum Ave,
Bensalem, PA 19020-3538

Ph: (267) 752-5511		Anna Antonova,
6501 Harbison Ave,
Philadelphia, PA 19149-2912

Ph: (215) 333-4300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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