Eugene Fantl, MD - Medicare Pediatrics 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 NameEugene Fantl
GenderMale
SpecialityPediatrics
Location99 Ash St, East Hartford, Connecticut
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1255337465NPI-NPPES
1197623MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameGenerations Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

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.