Michael Diantonio, MD in Acoma, NM - Medicare Emergency Medicine

Michael Diantonio, MD is a medicare enrolled "Emergency Medicine" physician in Acoma, New Mexico. His current practice location is 80 B Veterans Blvd, Acoma, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 552-5300.

Michael Diantonio is licensed to practice in New York (license number 169638) 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 1528118163.

Contact Information

	Michael Diantonio, MD
	80 B Veterans Blvd, Acoma, NM 87034
	(505) 552-5300
	(505) 552-5490

Map and Direction

Physician's Profile

Full Name	Michael Diantonio
Gender	Male
Speciality	Emergency Medicine
Location	80 B Veterans Blvd, Acoma, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528118163
Provider Enumeration Date: 01/12/2007
Last Update Date: 03/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4284714429
Enrollment ID: I20071231000238

Medical Identifiers

Medical identifiers for Michael Diantonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528118163	NPI	-	NPPES
01395500	Medicaid	NY
H3451	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME105541 (Florida)	Secondary
207P00000X	Emergency Medicine	169638 (New York)	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. Michael Diantonio allows following entities to bill medicare on his behalf.

Entity Name	Faxton-st Lukes Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433

Entity Name	Emergency Physician Services Of New York, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684

Entity Name	Sullivan Emergency Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528338480 PECOS PAC ID: 7719146927 Enrollment ID: O20120307000760

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. Michael Diantonio 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
Michael Diantonio, MD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300	Michael Diantonio, MD 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300

Reviews and Comments

Emergency Medicine Doctors in Acoma, NM

Dr. Richard M Kaut, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490
Steadman A Mason, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490
Dr. I-wen Tseng, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490
Dr. Craig L Humphries, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828
Dr. Michael E. Rowe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490
Dr. Janet I Mcmahon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490

Michael Diantonio, MD - Medicare Emergency Medicine in Acoma, NM