Jacob Fantin, PLP - Medicare Psychologist in Monett, MO

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Jacob Fantin, PLP is a medicare enrolled "Psychologist - Clinical" provider in Monett, Missouri. His current practice location is 1701 N Central Ave, Monett, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 476-1000.

Jacob Fantin is licensed to practice in Missouri (license number 2022038992) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538883459.

Contact Information

Jacob Fantin, PLP
1701 N Central Ave,
Monett, MO 65708-9999
(417) 476-1000
(417) 476-1082

Map and Direction




Healthcare Provider's Profile

Full NameJacob Fantin
GenderMale
SpecialityPsychologist - Clinical
Location1701 N Central Ave, Monett, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538883459
  • Provider Enumeration Date: 10/04/2022
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557711231
  • Enrollment ID: I20231220003813

Medical Identifiers

Medical identifiers for Jacob Fantin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538883459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2022038992 (Missouri)Primary

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. Jacob Fantin allows following entities to bill medicare on his behalf.
Entity NameClark Community Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801807771
PECOS PAC ID: 8527069277
Enrollment ID: O20070123000267

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. Jacob Fantin 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
Jacob Fantin, PLP
Po Box 100,
Pierce City, MO 65723-2100

Ph: (417) 476-1013		Jacob Fantin, PLP
1701 N Central Ave,
Monett, MO 65708-9999

Ph: (417) 476-1000

Reviews and Comments


Psychologist in Monett, MO

Jennifer Webb, PLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1701 N Cental, Monett, MO 65708
Phone: 417-476-1000    
Mr. Matt Costley, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2200 E Cleveland St, Monett, MO 65708
Phone: 417-236-2600    Fax: 417-236-2619

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.