Fannie Tan Koa, LICAC, DIPLOM - Acupuncturist in Somerville, MA

Fannie Tan Koa, LICAC, DIPLOM is a Acupuncturist based in Somerville, Massachusetts. Fannie Tan Koa is licensed to practice in Massachusetts (license number 253925) and her current practice location is 259 Elm St, Suite 300b, Somerville, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 294-9109.

NPI number for Fannie Tan Koa is 1588925077 and her current mailing address is 259 Elm St, Suite 300b, Somerville, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588925077.

Contact Information

Fannie Tan Koa, LICAC, DIPLOM
259 Elm St, Suite 300b,
Somerville, MA 02144-2950
(617) 294-9109
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameFannie Tan Koa
GenderFemale
SpecialityAcupuncturist
Location259 Elm St, Somerville, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588925077
  • Provider Enumeration Date: 05/31/2012
  • Last Update Date: 02/15/2017

Medical Identifiers

Medical identifiers for Fannie Tan Koa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588925077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 253925 (Massachusetts)Primary
171100000XAcupuncturist 205 (New Hampshire)Secondary

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. Fannie Tan Koa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fannie Tan Koa, LICAC, DIPLOM
259 Elm St, Suite 300b,
Somerville, MA 02144-2950

Ph: (617) 294-9109
Fannie Tan Koa, LICAC, DIPLOM
259 Elm St, Suite 300b,
Somerville, MA 02144-2950

Ph: (617) 294-9109

Reviews and Comments


Acupuncturist in Somerville, MA

Kathryn Walker, MS, MAOM
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Philip J Steyer, LIC. AC.
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Jordan Spiers, LICAC
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Practice Location: 50 Church St, Somerville, MA 02143
Phone: 617-623-8488    
Eunhee K Belew, LIC. AC.
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Practice Location: 8 Fairlee St, #2, Somerville, MA 02144
Phone: 617-718-9158    
Alexa Bullerdieck, LIC.AC.
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Medicare: Not Enrolled in Medicare
Practice Location: 32 Bow St, #3, Somerville, MA 02143
Phone: 617-909-4411    
Katarina Bergh, LIC.AC.
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Medicare: Not Enrolled in Medicare
Practice Location: 92 Bay State Ave # 2, Somerville, MA 02144
Phone: 617-718-7208    
Lori Jean Pino,
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Medicare: Not Enrolled in Medicare
Practice Location: 151 Pearl St, Somerville, MA 02145
Phone: 617-666-8702    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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