Dr Jackie S Fantes, MD - Medicare Family Practice in East Boston, MA

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Dr Jackie S Fantes, MD is a medicare enrolled "Family Medicine" physician in East Boston, Massachusetts. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Internal Medical Associates-ebnhc and her current practice location is 10 Gove St, East Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 569-5800.

Dr Jackie S Fantes is licensed to practice in Massachusetts (license number 261649) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275530719.

Contact Information

Dr Jackie S Fantes, MD
10 Gove St,
East Boston, MA 02128-1920
(617) 569-5800
(617) 568-4780

Map and Direction




Physician's Profile

Full NameDr Jackie S Fantes
GenderFemale
SpecialityFamily Practice
Experience32 Years
Location10 Gove St, East Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jackie S Fantes graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1275530719
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789713587
  • Enrollment ID: I20150403000757

Medical Identifiers

Medical identifiers for Dr Jackie S Fantes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275530719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 261649 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Internal Medical Associates-ebnhc6103814371214

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 Jackie S Fantes allows following entities to bill medicare on her behalf.
Entity NameInternal Medical Associates-ebnhc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558481879
PECOS PAC ID: 6103814371
Enrollment ID: O20040505000853
Entity NameEast Boston Neighborhood Health Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316994411
PECOS PAC ID: 9032356050
Enrollment ID: O20130513000045
Entity NameGather Health Primary Care Of Massachusetts Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255051850
PECOS PAC ID: 3577932920
Enrollment ID: O20221207002146

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 Jackie S Fantes 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 Jackie S Fantes, MD
10 Gove St,
East Boston, MA 02128-1920

Ph: (617) 569-5800		Dr Jackie S Fantes, MD
10 Gove St,
East Boston, MA 02128-1920

Ph: (617) 569-5800

Reviews and Comments


Family Medicine Doctors in East Boston, MA

Anu Rupa Mehra, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780
Shereen Mohiuddin, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780
Karin Leschly, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780
Charles T Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780
Jennifer L Pfau, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780
John Paul O'brien, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4756

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.