Dr Devin Antonovich, MD in West Columbia, SC

Dr Devin Antonovich, MD is a medicare enrolled "Anesthesiology" physician in West Columbia, South Carolina. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Self Medical Group, Trident Pain Center Llc, Hyper Healing and his current practice location is 176 Mcswain Dr, West Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 797-3636.

Dr Devin Antonovich is licensed to practice in South Carolina (license number MMD.39925.LL) 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 1770036410.

Contact Information

	Dr Devin Antonovich, MD
	176 Mcswain Dr, West Columbia, SC 29169-4825
	(843) 797-3636
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Devin Antonovich
Gender	Male
Speciality	Anesthesiology
Experience	10 Years
Location	176 Mcswain Dr, West Columbia, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Devin Antonovich graduated from medical school in 2016

NPI Data:

NPI Number: 1770036410
Provider Enumeration Date: 07/29/2016
Last Update Date: 04/10/2026

Medicare PECOS Information:

PECOS PAC ID: 3274813563
Enrollment ID: I20210428000032

Medical Identifiers

Medical identifiers for Dr Devin Antonovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770036410	NPI	-	NPPES
399251	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	39925 (South Carolina)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	39925 (South Carolina)	Secondary
207L00000X	Anesthesiology	MMD.39925.LL (South Carolina)	Primary
174400000X	Specialist	39925 (South Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Self Regional Healthcare	Greenwood, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Self Medical Group	6002953916	399
Trident Pain Center Llc	7911897269	18
Hyper Healing	3577821958	10

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 Devin Antonovich allows following entities to bill medicare on his behalf.

Entity Name	Trident Pain Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801992961 PECOS PAC ID: 7911897269 Enrollment ID: O20040318001454

Entity Name	Hyper Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508381567 PECOS PAC ID: 3577821958 Enrollment ID: O20190115001342

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 Devin Antonovich 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
Dr Devin Antonovich, MD 9267 Medical Plaza Dr Ste G, N Charleston, SC 29406-9139 Ph: (843) 797-3636	Dr Devin Antonovich, MD 176 Mcswain Dr, West Columbia, SC 29169-4825 Ph: (843) 797-3636

Reviews and Comments

Anesthesiology Doctors in West Columbia, SC

Dr. Jonathan Cates, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102
Andrew S. Weisinger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000
Patrick L. Laporte, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8535 Fax: 803-791-2660
Dr. Charles E Corley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-254-2394 Fax: 803-254-7125
Dr. Charles T Campbell, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000
Dr. James F Knight, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-0000
Jialiu David Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816

Dr Devin Antonovich, MD - Medicare Anesthesiology in West Columbia, SC