Dr Michael Blair Tantillo, MD - Medicare Plastic Surgery in Chestnut Hill, MA

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Dr Michael Blair Tantillo, MD is a medicare enrolled "Plastic Surgery" physician in Chestnut Hill, Massachusetts. 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 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 1841281227.

Contact Information

Dr Michael Blair Tantillo, MD
25 Boylston Street, Suite 304,
Chestnut Hill, MA 02467
(617) 505-6818
(617) 505-6813

Map and Direction




Physician's Profile

Full NameDr Michael Blair Tantillo
GenderMale
SpecialityPlastic Surgery
Location25 Boylston Street, Chestnut Hill, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20110901000385

Medical Identifiers

Medical identifiers for Dr Michael Blair Tantillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841281227NPI-NPPES
3192873MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 19264 (New Hampshire)Secondary
208200000XPlastic Surgery 74194 (Massachusetts)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. Dr Michael Blair Tantillo allows following entities to bill medicare on his behalf.
Entity NameNortheast Dermatology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104921162
PECOS PAC ID: 3072403799
Enrollment ID: O20040317000655
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameNeda Brookline Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548746092
PECOS PAC ID: 5890028484
Enrollment ID: O20190613002453

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 AddressPractice 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

Reviews and Comments


Plastic Surgery Doctors in Chestnut Hill, MA


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.