Joni Antonia, LCCSW in Fulton, MO - Medicare Counselor Provider

Joni Antonia, LCCSW is a medicare enrolled "Counselor - Mental Health" provider in Fulton, Missouri. Her current practice location is 1 University Ave, Fulton, Missouri. You can reach out to her office (for appointments etc.) via phone at (808) 589-1829.

Joni Antonia is licensed to practice in Colorado (license number 09925760) 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 1013161090.

Contact Information

	Joni Antonia, LCCSW
	1 University Ave, Fulton, MO 65251-2388
	(808) 589-1829
	(808) 589-2610

Map and Direction

Healthcare Provider's Profile

Full Name	Joni Antonia
Gender	Female
Speciality	Counselor - Mental Health
Location	1 University Ave, Fulton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013161090
Provider Enumeration Date: 11/04/2008
Last Update Date: 03/22/2019

Medicare PECOS Information:

PECOS PAC ID: 2062804263
Enrollment ID: I20220120002040

Medical Identifiers

Medical identifiers for Joni Antonia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013161090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	2017005884 (Missouri)	Secondary
101YM0800X	Counselor - Mental Health	09925760 (Colorado)	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. Joni Antonia allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440

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. Joni Antonia 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
Joni Antonia, LCCSW 1 University Ave, Fulton, MO 65251-2388 Ph: (808) 589-1829	Joni Antonia, LCCSW 1 University Ave, Fulton, MO 65251-2388 Ph: (808) 589-1829

Reviews and Comments

Counselor in Fulton, MO

Ms. Trudy Lynn Stephens Baker, EDS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 A Court Street, Fulton, MO 65251 Phone: 573-592-0120 Fax: 573-592-0980
Michael J Luley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2625 Fairway Dr, Suite E, Fulton, MO 65251 Phone: 573-642-1775 Fax: 573-642-1850
Donna G Merritt, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Fairway Dr, Suite E, Fulton, MO 65251 Phone: 573-636-6727 Fax: 573-761-5819
Mrs. Anne Marie Rulo, SMFT, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Fairway Dr, Fulton, MO 65251 Phone: 573-999-2510
Valery Kron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Market St Ste 101, Fulton, MO 65251 Phone: 573-642-0087
Cynthia L. Chalfant, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Fairway Dr, Suite A, Fulton, MO 65251 Phone: 573-220-2983 Fax: 573-642-3440

Joni Antonia, LCCSW - Medicare Counselor in Fulton, MO