Dr Michael Blair Tantillo, MD is a medicare enrolled "Plastic Surgery" physician in Chestnut Hill, Massachusetts. He went to University Of Alabama School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Dartmouth-hitchcock Clinic, Mary Hitchcock Memorial Hospital and 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 | Plastic And Reconstructive Surgery |
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Experience | 35 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 University Of Alabama School Of Medicine in 1989
NPI Data:
- NPI Number: 1841281227
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 11/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496700791
- Enrollment ID: I20181129002043
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dartmouth-hitchcock Clinic | 4183537509 | 1138 |
Mary Hitchcock Memorial Hospital | 4486561164 | 955 |
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 Michael Blair Tantillo allows following entities to bill medicare on his behalf.
Entity Name | Mary Hitchcock Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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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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