John Vito Antonucci, MD - Medicare Radiation Oncology in Pontiac, MI

John Vito Antonucci, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Pontiac, Michigan. He went to Tufts University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice American Oncologic Associates Of Michigan Pc, Michigan Healthcare Professionals Pc and his current practice location is 70 Fulton St, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 338-0300.

John Vito Antonucci is licensed to practice in Michigan (license number 4301081739) 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 1619181369.

Contact Information

John Vito Antonucci, MD
70 Fulton St,
Pontiac, MI 48341-2755
(248) 338-0300
(248) 338-0663



Physician's Profile

Full NameJohn Vito Antonucci
GenderMale
SpecialityRadiation Oncology
Experience21 Years
Location70 Fulton St, Pontiac, Michigan
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:
  • John Vito Antonucci attended and graduated from Tufts University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1619181369
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 10/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0547334047
  • Enrollment ID: I20080731000747

Medical Identifiers

Medical identifiers for John Vito Antonucci such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619181369NPI-NPPES
P01013930OtherMIRAILROAD MEDICARE
9209246OtherMIAETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES
200811OtherMIUNITED HEALTHCARE COMMUNITY PLAN
1046261OtherMIHEALTH PLUS OF MICHIGAN THRU OAKLAND PHYSICIANS NETWORK SERVICES (OPNS)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 4301081739 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital, TroyTroy, MIHospital
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Oncologic Associates Of Michigan Pc35775589809
Michigan Healthcare Professionals Pc0345413258448

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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. John Vito Antonucci allows following entities to bill medicare on his behalf.
Entity NameMichigan Institute Of Urology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427027416
PECOS PAC ID: 1052223492
Enrollment ID: O20031125000770

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Entity NameAmerican Oncologic Associates Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104890102
PECOS PAC ID: 3577558980
Enrollment ID: O20040415001236

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Entity NameMichigan Healthcare Professionals Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027

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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. John Vito Antonucci 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
John Vito Antonucci, MD
2234 Colonial Blvd, Attn: Payer Contracting & Relations,
Fort Myers, FL 33907-1412

Ph: (239) 931-7342
John Vito Antonucci, MD
70 Fulton St,
Pontiac, MI 48341-2755

Ph: (248) 338-0300

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Radiology Doctors in Pontiac, MI

Dr. Henry Huy Khanh Nguyen, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3266    
Larry L Kestin,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Fulton St, Pontiac, MI 48341
Phone: 248-338-0300    Fax: 248-338-0663
Michael I Ghilezan, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Fulton St, Pontiac, MI 48341
Phone: 248-338-0300    Fax: 248-338-0663
Dr. Elizabeth Popovski, M.D. M.SC.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3000    
Adam Bruderick, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341
Phone: 248-858-6273    
Dr. Annie Kalapparambath, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, St.josephmercyoakland Hospital, Pontiac, MI 48341
Phone: 248-858-3040    
James M Switzer, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 461 W Huron Street, Pontiac, MI 48341
Phone: 248-857-7515    Fax: 248-857-7524

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