Dr Marie Angeline Antonyrajah, MD in Daytona Beach, FL

Dr Marie Angeline Antonyrajah, MD is a medicare enrolled "Pediatrics" physician in Daytona Beach, Florida. Her current practice location is 303 N Clyde Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 425-4000.

Dr Marie Angeline Antonyrajah is licensed to practice in Florida (license number ME120640) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497043046.

Contact Information

	Dr Marie Angeline Antonyrajah, MD
	303 N Clyde Blvd, Daytona Beach, FL 32114
	(386) 425-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marie Angeline Antonyrajah
Gender	Female
Speciality	Pediatrics
Location	303 N Clyde Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497043046
Provider Enumeration Date: 07/18/2011
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8921320144
Enrollment ID: I20141125000888

Medical Identifiers

Medical identifiers for Dr Marie Angeline Antonyrajah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497043046	NPI	-	NPPES
014412800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	ME120640 (Florida)	Secondary
208M00000X	Hospitalist	ME120640 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	ME120640 (Florida)	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 Marie Angeline Antonyrajah allows following entities to bill medicare on her behalf.

Entity Name	Halifax Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

Entity Name	Florida Emergency Physicians Kang And Associates Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687

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 Marie Angeline Antonyrajah 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 Marie Angeline Antonyrajah, MD 303 N Clyde Blvd, Daytona Beach, FL 32114-0532 Ph: (904) 697-5062	Dr Marie Angeline Antonyrajah, MD 303 N Clyde Blvd, Daytona Beach, FL 32114 Ph: (386) 425-4000

Reviews and Comments

Pediatrics Doctors in Daytona Beach, FL

Juliana Lyn Hellmann, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 407-975-0410
Dr. Jennifer Carbone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-234-3499
Marilyn L Regis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0790 Fax: 386-274-0800
Dr. William Lefkowitz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 407-303-2528 Fax: 407-303-2760
Dr. Andrea Jennifer Thorpe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-947-3553 Fax: 386-239-6189
Dr. Katarzyna I. Madejczyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-254-2285 Fax: 386-425-1304
James Michael Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 Fax: 386-258-7677

Dr Marie Angeline Antonyrajah, MD - Medicare Pediatrics in Daytona Beach, FL