Dr Savita Leanne Fanta, MD is a medicare enrolled "Internal Medicine" physician in Fairview, Tennessee. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Privia Medical Group Tennessee Llc, Advanced Diagnostic Imaging Pc and her current practice location is
2340 Fairview Blvd Ste 600d, Fairview, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 446-6140.
Dr Savita Leanne Fanta is licensed to practice in Tennessee (license number 48530) 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 1750608113.
Physician's Profile
| Full Name | Dr Savita Leanne Fanta |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 14 Years |
|---|
| Location | 2340 Fairview Blvd Ste 600d, Fairview, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. 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 Savita Leanne Fanta graduated from medical school in 2010
NPI Data:
- NPI Number: 1750608113
- Provider Enumeration Date: 04/26/2010
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971722083
- Enrollment ID: I20140922001449
Medical Identifiers
Medical identifiers for Dr Savita Leanne Fanta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750608113 | NPI | - | NPPES |
| Q008516 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 48530 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 48530 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Privia Medical Group Tennessee Llc | 0547667552 | 76 |
| Advanced Diagnostic Imaging Pc | 7315848140 | 547 |
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 Savita Leanne Fanta allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677 |
|---|
| Entity Name | Privia Medical Group Tennessee Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376110858
PECOS PAC ID: 0547667552
Enrollment ID: O20210917001131 |
|---|
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 Savita Leanne Fanta 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 Savita Leanne Fanta, MD
3024 Business Park Cir,
Goodlettsville, TN 37072-3132
Ph: (615) 239-2018 | Dr Savita Leanne Fanta, MD
2340 Fairview Blvd Ste 600d,
Fairview, TN 37062
Ph: (615) 446-6140 |
Reviews and Comments