Dr John Edward Fantasia, DDS - Medicare Dentist in New Hyde Park, NY

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Dr John Edward Fantasia, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in New Hyde Park, New York. He went to Emory University School Of Medicine and graduated in 1975 and has 50 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice White Hall Dental, Pc and his current practice location is 27005 76th Ave, Lijmc, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at (718) 470-7116.

Dr John Edward Fantasia is licensed to practice in New York (license number 041799-1) 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 1730258286.

Contact Information

Dr John Edward Fantasia, DDS
27005 76th Ave, Lijmc,
New Hyde Park, NY 11040-1433
(718) 470-7116
(718) 347-3483

Map and Direction




Healthcare Provider's Profile

Full NameDr John Edward Fantasia
GenderMale
SpecialityMaxillofacial Surgery
Experience50 Years
Location27005 76th Ave, New Hyde Park, 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 John Edward Fantasia attended and graduated from Emory University School Of Medicine in 1975
  NPI Data:
  • NPI Number: 1730258286
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638368145
  • Enrollment ID: I20110114000560

Medical Identifiers

Medical identifiers for Dr John Edward Fantasia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730258286NPI-NPPES
01098053MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0106XDentist - Oral And Maxillofacial Pathology 041799-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White Hall Dental, Pc25678201378

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 John Edward Fantasia allows following entities to bill medicare on his behalf.
Entity NameNorthwell Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215019500
PECOS PAC ID: 3971531039
Enrollment ID: O20070215000718
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameWhite Hall Dental, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376268821
PECOS PAC ID: 2567820137
Enrollment ID: O20230614002923

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 John Edward 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 AddressPractice Location Address
Dr John Edward Fantasia, DDS
27005 76th Ave, Lijmc,
New Hyde Park, NY 11040-1433

Ph: (718) 470-7116		Dr John Edward Fantasia, DDS
27005 76th Ave, Lijmc,
New Hyde Park, NY 11040-1433

Ph: (718) 470-7116

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.