Mr Angelito Antonio, NP-C in Wayne, NJ - Medicare Nurse Practitioner

Mr Angelito Antonio, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Wayne, New Jersey. His current practice location is 930 Valley Rd, Wayne, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 696-3868.

Mr Angelito Antonio is licensed to practice in New Jersey (license number 26NJ00260500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972743698.

Contact Information

	Mr Angelito Antonio, NP-C
	930 Valley Rd, Wayne, NJ 07470
	(973) 696-3868
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Angelito Antonio
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	930 Valley Rd, Wayne, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972743698
Provider Enumeration Date: 02/21/2009
Last Update Date: 06/20/2018

Medicare PECOS Information:

PECOS PAC ID: 1254466535
Enrollment ID: I20100312000288

Medical Identifiers

Medical identifiers for Mr Angelito Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972743698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2200X	Clinical Nurse Specialist - Adult Health	26NJ00260500 (New Jersey)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	F305268-1 (New York)	Secondary
364SG0600X	Clinical Nurse Specialist - Gerontology	F340760-1 (New York)	Secondary
364SG0600X	Clinical Nurse Specialist - Gerontology	26NJ00260500 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	26NJ00260500 (New Jersey)	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. Mr Angelito Antonio allows following entities to bill medicare on his behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160927000041

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. Mr Angelito 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
Mr Angelito Antonio, NP-C 930 Valley Rd, Wayne, NJ 07470-2900 Ph: (973) 696-3868	Mr Angelito Antonio, NP-C 930 Valley Rd, Wayne, NJ 07470 Ph: (973) 696-3868

Reviews and Comments

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Mr Angelito Antonio, NP-C - Medicare Nurse Practitioner in Wayne, NJ