Dr Thomas A Antonian, OD is a medicare enrolled "Optometrist" provider in East Prov, Rhode Island. His current practice location is
2728 Pawt Ave, East Prov, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 434-5532.
Dr Thomas A Antonian is licensed to practice in Rhode Island (license number ODTG00480) 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 1972605905.
Healthcare Provider's Profile
| Full Name | Dr Thomas A Antonian |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 2728 Pawt Ave, East Prov, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972605905
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 08/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 1850392796
- Enrollment ID: I20070920000882
Medical Identifiers
Medical identifiers for Dr Thomas A Antonian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972605905 | NPI | - | NPPES |
| 9009886 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2550 (Massachusetts) | Secondary |
| 152W00000X | Optometrist | ODTG00480 (Rhode Island) | 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 Thomas A Antonian allows following entities to bill medicare on his behalf.
| Provider Name | Dr Lyn-marie Behmke Od |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295893790
PECOS PAC ID: 9638277676
Enrollment ID: O20070614000307 |
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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 Thomas A Antonian 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 Thomas A Antonian, OD
2728 Pawtucket Ave,
East Providence, RI 02914
Ph: (401) 434-5532 | Dr Thomas A Antonian, OD
2728 Pawt Ave,
East Prov, RI 02914
Ph: (401) 434-5532 |
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