Joseph Tyler Antico, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Silverthorne, Colorado. His current practice location is
998 Blue River Pkwy, Silverthorne, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 439-4714.
Joseph Tyler Antico is licensed to practice in Colorado (license number CSW.09929713) 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 1922754696.
Healthcare Provider's Profile
Full Name | Joseph Tyler Antico |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 998 Blue River Pkwy, Silverthorne, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922754696
- Provider Enumeration Date: 02/22/2022
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961931043
- Enrollment ID: I20250120000815
Medical Identifiers
Medical identifiers for Joseph Tyler Antico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922754696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | 24395401 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09929713 (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. Joseph Tyler Antico allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Joseph Tyler Antico 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 |
Joseph Tyler Antico, LCSW Po Box 308, Alma, CO 80420-0308 Ph: (404) 922-1862 | Joseph Tyler Antico, LCSW 998 Blue River Pkwy, Silverthorne, CO 80498-8958 Ph: (970) 439-4714 |
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