Antoine G Dipsia, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in W. Sacramento, California. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Elica Health Centers and his current practice location is
4215 Norwood Ave #01, W. Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 564-0521.
Antoine G Dipsia is licensed to practice in California (license number A40970) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013093558.
Physician's Profile
| Full Name | Antoine G Dipsia |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 47 Years |
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| Location | 4215 Norwood Ave #01, W. Sacramento, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Antoine G Dipsia graduated from medical school in 1977
NPI Data:
- NPI Number: 1013093558
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 02/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 3274687884
- Enrollment ID: I20090817000590
Medical Identifiers
Medical identifiers for Antoine G Dipsia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013093558 | NPI | - | NPPES |
| 00A409700 | Medicaid | CA | |
| 00A409700 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | A40970 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Elica Health Centers | 4385706845 | 17 |
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. Antoine G Dipsia allows following entities to bill medicare on his behalf.
| Entity Name | Palatnik Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891813085
PECOS PAC ID: 5890689962
Enrollment ID: O20040223000300 |
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| Entity Name | Elica Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548425853
PECOS PAC ID: 4385706845
Enrollment ID: O20090818000598 |
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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. Antoine G Dipsia 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 |
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Antoine G Dipsia, MD
200 Oceangate #100,
Long Beach, CA 90804-4317
Ph: (562) 499-6191 | Antoine G Dipsia, MD
4215 Norwood Ave #01,
W. Sacramento, CA 95838-3300
Ph: (916) 564-0521 |
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