Antolin Julian Perez, MD is a medicare enrolled "Anesthesiology" physician in Shelbyville, Kentucky. His current practice location is
727 Hospital Dr, Shelbyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 647-4085.
Antolin Julian Perez is licensed to practice in Kentucky (license number 28835) 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 1417032202.
Physician's Profile
| Full Name | Antolin Julian Perez |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 727 Hospital Dr, Shelbyville, Kentucky |
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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: 1417032202
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 05/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830260066
- Enrollment ID: I20080616000793
Medical Identifiers
Medical identifiers for Antolin Julian Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417032202 | NPI | - | NPPES |
| 200902390A | Medicaid | IN | |
| 7100046920 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 28835 (Kentucky) | 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. Antolin Julian Perez allows following entities to bill medicare on his behalf.
| Entity Name | Radius Anesthesia Of Kentucky Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679020689
PECOS PAC ID: 6002190758
Enrollment ID: O20170224002382 |
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| Entity Name | Kentucky Anesthesia Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750917357
PECOS PAC ID: 8820493919
Enrollment ID: O20210827001895 |
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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. Antolin Julian Perez 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 |
|---|
Antolin Julian Perez, MD
308 Longview Park Pl,
Louisville, KY 40245-6217
Ph: (502) 489-9472 | Antolin Julian Perez, MD
727 Hospital Dr,
Shelbyville, KY 40065-1660
Ph: (502) 647-4085 |
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