Dr Anthony W Phillips, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Shawano, Wisconsin. His current practice location is
100 County Road B, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 364-3600.
Dr Anthony W Phillips is licensed to practice in Wisconsin (license number 28688) 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 1780729020.
Physician's Profile
| Full Name | Dr Anthony W Phillips |
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| Gender | Male |
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| Speciality | Internal Medicine - Hematology & Oncology |
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| Location | 100 County Road B, Shawano, Wisconsin |
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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: 1780729020
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870496409
- Enrollment ID: I20040130000089
Medical Identifiers
Medical identifiers for Dr Anthony W Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780729020 | NPI | - | NPPES |
| 31656500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 28688 (Wisconsin) | 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. Dr Anthony W Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | Thedacare Medical Center - Shawano, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117 |
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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 Anthony W Phillips 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 Anthony W Phillips, MD
100 County Road B,
Shawano, WI 54166-7072
Ph: (920) 364-3600 | Dr Anthony W Phillips, MD
100 County Road B,
Shawano, WI 54166-7072
Ph: (920) 364-3600 |
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