Nessa Tantivit, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-7476.
Nessa Tantivit is licensed to practice in * (Not Available) (license number ) 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 1083241087.
Physician's Profile
Full Name | Nessa Tantivit |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 300 Longwood Ave, Boston, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083241087
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416375043
- Enrollment ID: I20200915000706
Medical Identifiers
Medical identifiers for Nessa Tantivit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083241087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 1014026 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Nessa Tantivit 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 |
Nessa Tantivit, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-7476 | Nessa Tantivit, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-7476 |
Reviews and Comments