Dr Michael Blair Tantillo, MD is a medicare enrolled "Plastic Surgery" physician in Chestnut Hill, Massachusetts. His current practice location is
25 Boylston Street, Suite 304, Chestnut Hill, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 505-6818.
Dr Michael Blair Tantillo is licensed to practice in Massachusetts (license number 74194) 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 1841281227.
Physician's Profile
Full Name | Dr Michael Blair Tantillo |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 25 Boylston Street, Chestnut Hill, Massachusetts |
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Accepts Medicare Assignments | Yes. 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 Michael Blair Tantillo attended and graduated from in
NPI Data:
- NPI Number: 1841281227
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 11/30/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Blair Tantillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841281227 | NPI | - | NPPES |
3192873 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 19264 (New Hampshire) | Secondary |
208200000X | Plastic Surgery | 74194 (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. Dr Michael Blair Tantillo 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 Michael Blair Tantillo, MD 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467 Ph: (617) 505-6818 | Dr Michael Blair Tantillo, MD 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467 Ph: (617) 505-6818 |
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