Dr Adelaida B Antonio, MD is a medicare enrolled "General Practice" physician in Canoga Park, California. She graduated from medical school in 1954 and has 72 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Roy Medical Group Inc and her current practice location is
21001 Sherman Way, Suite 15, Canoga Park, California. You can reach out to her office (for appointments etc.) via phone at
(818) 716-0048.
Dr Adelaida B Antonio is licensed to practice in California (license number C41801) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134337975.
Physician's Profile
| Full Name | Dr Adelaida B Antonio |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 72 Years |
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| Location | 21001 Sherman Way, Canoga Park, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Adelaida B Antonio graduated from medical school in 1954
NPI Data:
- NPI Number: 1134337975
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 12/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 5890777536
- Enrollment ID: I20040604000906
Medical Identifiers
Medical identifiers for Dr Adelaida B Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134337975 | NPI | - | NPPES |
| 00C418010 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C41801 (California) | Secondary |
| 208D00000X | General Practice | C41801 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Roy Medical Group Inc | 1658682729 | 4 |
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. Dr Adelaida B Antonio allows following entities to bill medicare on her behalf.
| Entity Name | Roy Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801921952
PECOS PAC ID: 1658682729
Enrollment ID: O20150616000836 |
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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. Dr Adelaida B Antonio 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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Dr Adelaida B Antonio, MD
21001 Sherman Way, Suite 15,
Canoga Park, CA 91303-1760
Ph: (818) 716-0048 | Dr Adelaida B Antonio, MD
21001 Sherman Way, Suite 15,
Canoga Park, CA 91303-1760
Ph: (818) 716-0048 |
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