Mrs Anita Lucia Antoniolli, MD in Maumee, OH

Mrs Anita Lucia Antoniolli, MD is a medicare enrolled "Surgery" physician in Maumee, Ohio. She went to Wayne State University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Promedica Central Physicians and her current practice location is 5705 Monclova Rd Ste 203, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 893-7812.

Mrs Anita Lucia Antoniolli is licensed to practice in Ohio (license number 35080460) 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 1306905963.

Contact Information

	Mrs Anita Lucia Antoniolli, MD
	5705 Monclova Rd Ste 203, Maumee, OH 43537-1877
	(419) 893-7812
	(419) 893-7815

Map and Direction

Physician's Profile

Full Name	Mrs Anita Lucia Antoniolli
Gender	Female
Speciality	General Surgery
Experience	31 Years
Location	5705 Monclova Rd Ste 203, Maumee, Ohio
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:

Mrs Anita Lucia Antoniolli attended and graduated from Wayne State University School Of Medicine in 1993

NPI Data:

NPI Number: 1306905963
Provider Enumeration Date: 12/08/2006
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0143242388
Enrollment ID: I20070321000712

Medical Identifiers

Medical identifiers for Mrs Anita Lucia Antoniolli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306905963	NPI	-	NPPES
04502	Other	OH	PARAMOUNT
106485	Other		NATIONWIDE
2422079	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	L598752 (Michigan)	Secondary
208600000X	Surgery	35080460 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	818

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. Mrs Anita Lucia Antoniolli allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Mrs Anita Lucia Antoniolli 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
Mrs Anita Lucia Antoniolli, MD 5705 Monclova Rd Ste 203, Maumee, OH 43537-1877 Ph: (419) 893-7812	Mrs Anita Lucia Antoniolli, MD 5705 Monclova Rd Ste 203, Maumee, OH 43537-1877 Ph: (419) 893-7812

Reviews and Comments

Surgery Doctors in Maumee, OH

Dr. Darrell Kennedy Evans Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5871 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8376 Fax: 419-887-8789
Dr. Kyle Jordan Duckett, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591
Dr. Beth A White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 Fax: 419-893-0162
Mirza Shahzad Hasan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 Fax: 419-893-0162
Dr. Dimitrios N Xanthakos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6811 Hickory Hill Dr, Maumee, OH 43537 Phone: 419-865-6548 Fax: 419-865-6528
Dr. Robert K Morris, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 26, Maumee, OH 43537 Phone: 419-897-9045 Fax: 866-205-0449

Mrs Anita Lucia Antoniolli, MD - Medicare General Surgery in Maumee, OH