Dr Pamela Marie Antoniuk, MD is a medicare enrolled "Plastic Surgery" physician in Fargo, North Dakota. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Innovis Health Llc and her current practice location is
3000 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 364-8000.
Dr Pamela Marie Antoniuk is licensed to practice in North Dakota (license number 11656) 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 1366513970.
Physician's Profile
| Full Name | Dr Pamela Marie Antoniuk |
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| Gender | Female |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 36 Years |
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| Location | 3000 32nd Ave S, Fargo, North Dakota |
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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 Pamela Marie Antoniuk graduated from medical school in 1988
NPI Data:
- NPI Number: 1366513970
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 12/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072639848
- Enrollment ID: I20100929000982
Medical Identifiers
Medical identifiers for Dr Pamela Marie Antoniuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366513970 | NPI | - | NPPES |
| 15402 | Medicaid | ND | |
| 1366513970 | Medicaid | MN | |
| 9020306 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 11656 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Innovis Health Llc | 9931298155 | 473 |
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 Pamela Marie Antoniuk allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221 |
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| Entity Name | Innovis Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158 |
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| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495 |
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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 Pamela Marie Antoniuk 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 Pamela Marie Antoniuk, MD
Po Box 6001,
Fargo, ND 58108-6001
Ph: (701) 364-8000 | Dr Pamela Marie Antoniuk, MD
3000 32nd Ave S,
Fargo, ND 58103-6132
Ph: (701) 364-8000 |
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