Dr Brandon J Fantasia, DC in Ontario, CA - Medicare Chiropractor Provider

Dr Brandon J Fantasia, DC is a medicare enrolled "Chiropractor" provider in Ontario, California. His current practice location is 410 N Lemon St, Ontario, California. You can reach out to his office (for appointments etc.) via phone at (909) 984-2765.

Dr Brandon J Fantasia is licensed to practice in California (license number 33564) 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 1720434822.

Contact Information

	Dr Brandon J Fantasia, DC
	410 N Lemon St, Ontario, CA 91764-3732
	(909) 984-2765
	(909) 467-5594

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon J Fantasia
Gender	Male
Speciality	Chiropractor
Location	410 N Lemon St, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720434822
Provider Enumeration Date: 05/06/2016
Last Update Date: 05/06/2016

Medicare PECOS Information:

PECOS PAC ID: 9436439130
Enrollment ID: I20161215001954

Medical Identifiers

Medical identifiers for Dr Brandon J Fantasia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720434822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	33564 (California)	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 Brandon J Fantasia allows following entities to bill medicare on his behalf.

Provider Name	Fantasia Chiropractic Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568573392 PECOS PAC ID: 6204973175 Enrollment ID: O20091026000547

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 Brandon J Fantasia 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 Brandon J Fantasia, DC 410 N Lemon St, Ontario, CA 91764-3732 Ph: (909) 984-2765	Dr Brandon J Fantasia, DC 410 N Lemon St, Ontario, CA 91764-3732 Ph: (909) 984-2765

Reviews and Comments

Chiropractor in Ontario, CA

Mr. Kevin Karl Gansert, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 601 N Euclid Ave, Ontario, CA 91762 Phone: 626-852-2268 Fax: 909-687-2622
Yvonne Yen Kim Hua, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3602 Inland Empire Blvd Ste B120, Ontario, CA 91764 Phone: 909-265-9500
Elmostafa Elkhiar, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 N Laurel Ave, Ontario, CA 91762 Phone: 909-988-2554 Fax: 909-988-2584
Cedar Medical Group, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 N Laurel Ave, Ontario, CA 91762 Phone: 909-988-2554 Fax: 909-988-2584
Dr Jimmy Bae Dc Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4345 E Lowell St, Suite A, Ontario, CA 91761 Phone: 213-700-8725
Dr. Brett Edward Diaz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2537 S Euclid Ave, Ontario, CA 91762 Phone: 909-930-2233 Fax: 909-933-3775
Dr. Brijesh Ghanshyam Patel, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2665 E Riverside Dr, Suite E, Ontario, CA 91761 Phone: 909-418-6758 Fax: 909-673-1798

Dr Brandon J Fantasia, DC - Medicare Chiropractor in Ontario, CA