Roodlyne Kimberly Antenor, PA-C - Physician Assistant in Ithaca, NY

Roodlyne Kimberly Antenor, PA-C is a Physician Assistant based in Ithaca, New York. Roodlyne Kimberly Antenor is licensed to practice in * (Not Available) (license number ) and her current practice location is 215 E State St, Ithaca, New York. She can be reached at her office (for appointments etc.) via phone at (607) 274-3011.

NPI number for Roodlyne Kimberly Antenor is 1871369108 and her current mailing address is 1341 Nw 132nd Ter, Miami, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871369108.

Contact Information

Roodlyne Kimberly Antenor, PA-C
215 E State St,
Ithaca, NY 14850-5547
(607) 274-3011
Not Available

Map and Direction




Provider's Profile

Full NameRoodlyne Kimberly Antenor
GenderFemale
SpecialityPhysician Assistant
Location215 E State St, Ithaca, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871369108
  • Provider Enumeration Date: 11/28/2023
  • Last Update Date: 11/28/2023

Medical Identifiers

Medical identifiers for Roodlyne Kimberly Antenor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871369108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Roodlyne Kimberly Antenor 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 AddressPractice Location Address
Roodlyne Kimberly Antenor, PA-C
1341 Nw 132nd Ter,
Miami, FL 33167-1720

Ph: (786) 506-3794
Roodlyne Kimberly Antenor, PA-C
215 E State St,
Ithaca, NY 14850-5547

Ph: (607) 274-3011

Reviews and Comments


Physician Assistant Nurses in Ithaca, NY

Paul Emerson Jones, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 101 Dates Dr, Ithaca, NY 14850
Phone: 607-274-4011    
Ms. Paula Fitzsimmons, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850
Phone: 607-339-0625    Fax: 607-535-2714
Shanise Thomas,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850
Phone: 607-272-7000    
Rodger Joseph Lantz, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 101 Dates Dr, Ithaca, NY 14850
Phone: 607-279-0199    
Rocco Rosano, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850
Phone: 607-272-7000    
Mr. Bryan R Gibb, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850
Phone: 607-272-7000    Fax: 607-272-4604
Mahbuba Akter,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 215 E State St, Ithaca, NY 14850
Phone: 607-274-3011    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.