Dr Antonios E Chryssos, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in North Canton, Ohio. His current practice location is
6659 Frank Ave Nw, North Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 966-3772.
Dr Antonios E Chryssos is licensed to practice in West Virginia (license number 28147) 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 1306831953.
Physician's Profile
| Full Name | Dr Antonios E Chryssos |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 6659 Frank Ave Nw, North Canton, Ohio |
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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: 1306831953
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 05/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 7517970346
- Enrollment ID: I20180616000065
Medical Identifiers
Medical identifiers for Dr Antonios E Chryssos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306831953 | NPI | - | NPPES |
| 0742969 | Medicaid | OH | |
| 678917 | Other | OH | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 28147 (West Virginia) | 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 Antonios E Chryssos allows following entities to bill medicare on his behalf.
| Entity Name | Charleston Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426 |
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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 Antonios E Chryssos 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 Antonios E Chryssos, MD
3100 Maccorkle Ave Se, Ste 101,
Charleston, WV 25304-1215
Ph: (330) 966-3772 | Dr Antonios E Chryssos, MD
6659 Frank Ave Nw,
North Canton, OH 44720
Ph: (330) 966-3772 |
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