Crista Fantone, in Liverpool, NY - Medicare Dentist Provider

Crista Fantone, is a medicare enrolled "Dentist" provider in Liverpool, New York. Her current practice location is 5100 W Taft Rd Ste 3k, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 760-7777.

Crista Fantone is licensed to practice in Vermont (license number 0160133869) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386182277.

Contact Information

	Crista Fantone,
	5100 W Taft Rd Ste 3k, Liverpool, NY 13088-3809
	(315) 760-7777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crista Fantone
Gender	Female
Speciality	Dentist
Location	5100 W Taft Rd Ste 3k, Liverpool, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386182277
Provider Enumeration Date: 02/10/2017
Last Update Date: 06/04/2026

Medicare PECOS Information:

PECOS PAC ID: 2567854383
Enrollment ID: I20220127002155

Medical Identifiers

Medical identifiers for Crista Fantone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386182277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	065125 (New York)	Secondary
122300000X	Dentist	0160133869 (Vermont)	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. Crista Fantone allows following entities to bill medicare on her behalf.

Entity Name	Northeast Washington County Community Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699755348 PECOS PAC ID: 7416960265 Enrollment ID: O20080102000299

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. Crista Fantone 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
Crista Fantone, Po Box 320, Plainfield, VT 05667-0320 Ph: (802) 454-8336	Crista Fantone, 5100 W Taft Rd Ste 3k, Liverpool, NY 13088-3809 Ph: (315) 760-7777

Reviews and Comments

Dentist in Liverpool, NY

Dr. Thomas J Fallon, D.D.S.P.C. Dentist Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd, Suite #3m North Medical Center, Liverpool, NY 13088 Phone: 315-452-2570 Fax: 315-452-2573
Dr. Omar Guesmia, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5100 W Taft Rd, Suite 3k, Liverpool, NY 13088 Phone: 315-452-2700 Fax: 315-452-2705
Dr. Peter J Moses, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 West Taft Road, Suite 214, Liverpool, NY 13088 Phone: 315-413-1100 Fax: 315-413-0710
Michael Joseph Romano, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7555 Morgan Rd, Liverpool, NY 13090 Phone: 315-457-0620 Fax: 315-457-0656
Dr. Chris K Pateras, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7418 Oswego Rd, Liverpool, NY 13090 Phone: 315-451-7890 Fax: 315-451-3949
Dr. Eric O Pettit, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 West Taft Road, Suite 204, Liverpool, NY 13088 Phone: 315-457-2011
Dr. Thomas Bennett Nolan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 W Taft Rd, Liverpool, NY 13088 Phone: 315-451-4900

Crista Fantone, - Medicare Dentist in Liverpool, NY