Eugene Fantl, MD in East Hartford, CT

Eugene Fantl, MD is a medicare enrolled "Pediatrics" physician in East Hartford, Connecticut. His current practice location is 99 Ash St, East Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 282-3859.

Eugene Fantl is licensed to practice in Connecticut (license number 019762) 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 1255337465.

Contact Information

	Eugene Fantl, MD
	99 Ash St, East Hartford, CT 06108-3226
	(860) 282-3859
	(860) 282-8574

Map and Direction

Physician's Profile

Full Name	Eugene Fantl
Gender	Male
Speciality	Pediatrics
Location	99 Ash St, East Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255337465
Provider Enumeration Date: 06/22/2005
Last Update Date: 07/15/2010

Medicare PECOS Information:

PECOS PAC ID: 5799800710
Enrollment ID: I20100915000103

Medical Identifiers

Medical identifiers for Eugene Fantl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255337465	NPI	-	NPPES
1197623	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	019762 (Connecticut)	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. Eugene Fantl allows following entities to bill medicare on his behalf.

Entity Name	Generations Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979

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. Eugene Fantl 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
Eugene Fantl, MD 65 Kane St, Provider Enrollment, West Hartford, CT 06119-2110 Ph: (860) 523-6421	Eugene Fantl, MD 99 Ash St, East Hartford, CT 06108-3226 Ph: (860) 282-3859

Reviews and Comments

Pediatrics Doctors in East Hartford, CT

Dr. Sheikh Irfan Ahmed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 580 Burnside Ave, Suite 4, East Hartford, CT 06108 Phone: 860-528-5068 Fax: 860-528-2341
Dr. Jayashree Venkatesh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, Suite 303, East Hartford, CT 06108 Phone: 860-289-3047 Fax: 860-528-4735
Dr. Latesha I Dawson Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, Uconn Medical Group-pediatrics, East Hartford, CT 06108 Phone: 860-282-3859 Fax: 860-282-8574
Larry Scherzer, Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Ash St, East Hartford, CT 06108 Phone: 860-282-3859

Eugene Fantl, MD - Medicare Pediatrics in East Hartford, CT