Sandra K Antoniak, MD in Tucson, AZ - Medicare Psychiatry & Neurology

Sandra K Antoniak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Tucson, Arizona. Her current practice location is 3500 N Sabino Canyon Rd Unit 54, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (402) 305-1921.

Sandra K Antoniak is licensed to practice in New York (license number 266006) 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 1891992285.

Contact Information

	Sandra K Antoniak, MD
	3500 N Sabino Canyon Rd Unit 54, Tucson, AZ 85750-6141
	(402) 305-1921
	Not Available

Map and Direction

Physician's Profile

Full Name	Sandra K Antoniak
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	3500 N Sabino Canyon Rd Unit 54, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891992285
Provider Enumeration Date: 06/28/2007
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2769709641
Enrollment ID: I20150403000011

Medical Identifiers

Medical identifiers for Sandra K Antoniak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891992285	NPI	-	NPPES
266006	Other	NY	LICENSE
03615758	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	266006 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	266006 (New York)	Primary
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	266006 (New York)	Secondary

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. Sandra K Antoniak allows following entities to bill medicare on her behalf.

Entity Name	Access: Supports For Living Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528174976 PECOS PAC ID: 8729992730 Enrollment ID: O20031114000141

Entity Name	Champlain Valley Physicians Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623

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. Sandra K Antoniak 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
Sandra K Antoniak, MD 3500 N Sabino Canyon Rd Unit 54, Tucson, AZ 85750-6141 Ph: (402) 305-1921	Sandra K Antoniak, MD 3500 N Sabino Canyon Rd Unit 54, Tucson, AZ 85750-6141 Ph: (402) 305-1921

Reviews and Comments

Psychiatry & Neurology Doctors in Tucson, AZ

Jim Seymour, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4110 W Sweetwater Dr, Tucson, AZ 85745 Phone: 520-743-2150
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Dr. Jose M Santiago, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2202 N Forbes Blvd, Tucson, AZ 85745 Phone: 520-872-7780 Fax: 520-872-7847
Dr. Tyler Robert Shiflett, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2200 E River Rd Ste 112, Tucson, AZ 85718 Phone: 520-888-3553
Erica Esther Gonzalez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-7520
Nelda Akinbile, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1230 S Cherrybell Stra, Tucson, AZ 85713 Phone: 520-670-3909 Fax: 520-309-2560
Dr. Nelson Ricardo Rosario-leon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1601 W. St. Mary's Rd, Unit 2 North St. Mary's Hospital, Tucson, AZ 85795 Phone: 520-872-4910 Fax: 520-872-5495

Sandra K Antoniak, MD - Medicare Psychiatry & Neurology in Tucson, AZ