Anton Vlasov, DO is a medicare enrolled "Ophthalmology" physician in Fort Bragg, North Carolina. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Pinehurst Surgical Clinic Pa and his current practice location is
2817 Reilly St, Fort Bragg, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 907-6001.
Anton Vlasov is licensed to practice in North Carolina (license number 2017-02607) 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 1841639564.
Physician's Profile
| Full Name | Anton Vlasov |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 11 Years |
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| Location | 2817 Reilly St, Fort Bragg, North Carolina |
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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:
- Anton Vlasov graduated from medical school in 2013
NPI Data:
- NPI Number: 1841639564
- Provider Enumeration Date: 06/15/2013
- Last Update Date: 04/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840610853
- Enrollment ID: I20201013001861
Medical Identifiers
Medical identifiers for Anton Vlasov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841639564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 1489 (Nebraska) | Secondary |
| 207W00000X | Ophthalmology | 2017-02607 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pinehurst Surgical Clinic Pa | 4587561394 | 98 |
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. Anton Vlasov allows following entities to bill medicare on his behalf.
| Entity Name | Pinehurst Surgical Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962434324
PECOS PAC ID: 4587561394
Enrollment ID: O20031218000239 |
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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. Anton Vlasov 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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Anton Vlasov, DO
6200 Fauvette Ln,
Holly Springs, NC 27540-6443
Ph: (248) 854-5230 | Anton Vlasov, DO
2817 Reilly St,
Fort Bragg, NC 28310-0004
Ph: (910) 907-6001 |
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