Tia Anne Antony, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Okeechobee, Florida. Her current practice location is
878 Se 25th St, Okeechobee, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 979-0415.
Tia Anne Antony is licensed to practice in Florida (license number 11024212) 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 1669005310.
Provider's Profile
| Full Name | Tia Anne Antony |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 878 Se 25th St, Okeechobee, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669005310
- Provider Enumeration Date: 02/20/2020
- Last Update Date: 03/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648643759
- Enrollment ID: I20230309002910
Medical Identifiers
Medical identifiers for Tia Anne Antony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669005310 | NPI | - | NPPES |
| A535801836650 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN9343406 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11024212 (Florida) | 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. Tia Anne Antony allows following entities to bill medicare on her behalf.
| Entity Name | Sheridan Healthcorp Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355 |
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| Entity Name | St Lucie Anesthesia Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700044252
PECOS PAC ID: 4284792706
Enrollment ID: O20081027000765 |
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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. Tia Anne Antony 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 |
|---|
Tia Anne Antony,
878 Se 25th St,
Okeechobee, FL 34974-3210
Ph: () - | Tia Anne Antony,
878 Se 25th St,
Okeechobee, FL 34974-3210
Ph: (772) 979-0415 |
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