Hannah Jane Antoni, FNP is a medicare enrolled "Nurse Practitioner - Family" in Belmont, Michigan. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Age Management Of West Michigan Pc, Theoria Medical and her current practice location is
6081 West River Dr Ne, Belmont, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 625-0386.
Hannah Jane Antoni is licensed to practice in Michigan (license number 4704363969) 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 1053980854.
Provider's Profile
| Full Name | Hannah Jane Antoni |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 6081 West River Dr Ne, Belmont, Michigan |
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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:
- Hannah Jane Antoni graduated from nursing school in 2024
NPI Data:
- NPI Number: 1053980854
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527593557
- Enrollment ID: I20241127000631
Medical Identifiers
Medical identifiers for Hannah Jane Antoni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053980854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704363969 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704363969 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Age Management Of West Michigan Pc | 2466686290 | 17 |
| Theoria Medical | 5395098339 | 414 |
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. Hannah Jane Antoni allows following entities to bill medicare on her behalf.
| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127 |
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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. Hannah Jane Antoni 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 |
|---|
Hannah Jane Antoni, FNP
2407 College Ave Ne,
Grand Rapids, MI 49505-3638
Ph: (989) 464-3998 | Hannah Jane Antoni, FNP
6081 West River Dr Ne,
Belmont, MI 49306-9219
Ph: (616) 625-0386 |
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