Dr Ivan Antonevich, MD - Medicare Pain Management in New Hartford, NY

Dr Ivan Antonevich, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in New Hartford, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Slocum Dickson Medical Group Pllc and his current practice location is 1729 Burrstone Rd, New Hartford, New York. You can reach out to his office (for appointments etc.) via phone at (315) 798-1567.

Dr Ivan Antonevich is licensed to practice in New York (license number 229252) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043256118.

Contact Information

Dr Ivan Antonevich, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001
(315) 798-1567
(315) 798-1565



Physician's Profile

Full NameDr Ivan Antonevich
GenderMale
SpecialityPain Management
Experience30 Years
Location1729 Burrstone Rd, New Hartford, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ivan Antonevich graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1043256118
  • Provider Enumeration Date: 06/20/2006
  • Last Update Date: 07/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6709778392
  • Enrollment ID: I20040329000106

Medical Identifiers

Medical identifiers for Dr Ivan Antonevich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043256118NPI-NPPES
2729598-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 229252 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Slocum Dickson Medical Group Pllc5799778510111

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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 Ivan Antonevich allows following entities to bill medicare on his behalf.
Entity NameSlocum Dickson Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285625996
PECOS PAC ID: 5799778510
Enrollment ID: O20040407000427

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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 Ivan Antonevich 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 AddressPractice Location Address
Dr Ivan Antonevich, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1567
Dr Ivan Antonevich, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1567

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Pain Medicine Doctors in New Hartford, NY

Michael Joseph Mcnulty, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413
Phone: 315-798-1747    Fax: 315-798-1707

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