Jennifer Fantasia, MD | |
33 Kendall St, Worcester, MA 01605-2726 | |
(083) 348-7655 | |
(508) 334-9477 |
Full Name | Jennifer Fantasia |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 9 Years |
Location | 33 Kendall St, Worcester, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053799726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LP03299 (Rhode Island) | Secondary |
208800000X | Urology | 283649 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
Healthalliance Hospitals, Inc | Leominster, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Fantasia, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Jennifer Fantasia, MD 33 Kendall St, Worcester, MA 01605-2726 Ph: (083) 348-7655 |
Mr. Kevan M Sternberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-8765 | |
Timothy B Hopkins, MD Urology Medicare: Medicare Enrolled Practice Location: 25 Oak Avenue, Worcester, MA 01605 Phone: 508-756-6293 Fax: 508-756-9404 | |
Dr. Bhalchandra G Parulkar, MD, MCH Urology Medicare: Accepting Medicare Assignments Practice Location: 85 Prescott Street, Suite 403, Worcester, MA 01605 Phone: 508-753-7259 Fax: 508-753-9577 | |
Dr. Wayne B Glazier, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 85 Prescott St, Suite 403, Worcester, MA 01605 Phone: 508-753-7259 Fax: 508-753-9577 | |
Leonard J. Rampello, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Urology, Worcester, MA 01655 Phone: 508-856-5821 Fax: 508-856-3137 | |
Jennifer K Yates, Urology Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Department Of Urology, Worcester, MA 01605 Phone: 508-856-5821 Fax: 508-856-3137 | |
Philip J Ayvazian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Oak Avenue, Worcester, MA 01605 Phone: 508-756-6293 Fax: 508-756-9404 |