Khristy Fontillas, DMD in Cambridge, MA - Medicare Dentist Provider

Khristy Fontillas, DMD is a medicare enrolled "Dentist - General Practice" provider in Cambridge, Massachusetts. Her current practice location is 875 Massachusetts Ave, Suite 63, Cambridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 868-5500.

Khristy Fontillas is licensed to practice in Massachusetts (license number DN1856889) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871900100.

Contact Information

	Khristy Fontillas, DMD
	875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
	(617) 868-5500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khristy Fontillas
Gender	Female
Speciality	Dentist - General Practice
Location	875 Massachusetts Ave, Cambridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871900100
Provider Enumeration Date: 07/18/2014
Last Update Date: 03/13/2016

Medicare PECOS Information:

PECOS PAC ID: 1355568502
Enrollment ID: I20140812000004

Medical Identifiers

Medical identifiers for Khristy Fontillas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871900100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN1856889 (Massachusetts)	Primary

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. Khristy Fontillas 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
Khristy Fontillas, DMD 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067 Ph: (617) 868-5500	Khristy Fontillas, DMD 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067 Ph: (617) 868-5500

Reviews and Comments

Dentist in Cambridge, MA

Dr. Fatima Pirzada Aziz, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1749 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-491-1161
Richard M Dana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Magazine St, Suite D, Cambridge, MA 02139 Phone: 617-876-8734 Fax: 617-876-9518
Darius Rene Ilano Tenorio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Alewife Brook Pkwy, Cambridge, MA 02138 Phone: 617-547-9100
Dr. Jhon Ceballos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 Windsor St, Cambridge, MA 02139 Phone: 617-665-3990
Dr. Ezra Sonderling, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 872 Massachusetts Ave Ste 2-6, Cambridge, MA 02139 Phone: 617-574-0606
Dr. Michael A Blau, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1751 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-491-6800 Fax: 617-491-4424
Dr. Albert Ray Duarte, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1749 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-547-7100

Khristy Fontillas, DMD - Medicare Dentist in Cambridge, MA