Grace Fantl, PA-C in Westport, MA - Medicare Physician Assistant

Grace Fantl, PA-C is a medicare enrolled "Physician Assistant" in Westport, Massachusetts. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Coastal Dermatology Inc and her current practice location is 829 American Legion Hwy, Westport, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 306-1400.

Grace Fantl is licensed to practice in Massachusetts (license number PA8620) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1710461595.

Contact Information

	Grace Fantl, PA-C
	829 American Legion Hwy, Westport, MA 02790-4128
	(508) 306-1400
	(978) 371-0522

Map and Direction

Provider's Profile

Full Name	Grace Fantl
Gender	Female
Speciality	Physician Assistant
Experience	8 Years
Location	829 American Legion Hwy, Westport, Massachusetts
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Grace Fantl graduated from nursing school in 2018

NPI Data:

NPI Number: 1710461595
Provider Enumeration Date: 09/18/2018
Last Update Date: 04/24/2026

Medicare PECOS Information:

PECOS PAC ID: 0840536892
Enrollment ID: I20220915001504

Medical Identifiers

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

Identifier	Type	State	Issuer
1710461595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA8620 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southcoast Hospitals Group	Fall river, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Dermatology Inc	3779860390	10

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. Grace 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
Grace Fantl, PA-C 526 Main St Ste 302, Acton, MA 01720-3301 Ph: (978) 371-7010	Grace Fantl, PA-C 829 American Legion Hwy, Westport, MA 02790-4128 Ph: (508) 306-1400

Reviews and Comments

Physician Assistant Nurses in Westport, MA

Matthew Jacob Dacosta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 827 American Legion Hwy, Westport, MA 02790 Phone: 508-636-5101 Fax: 508-636-3651
Krista Joanne Hoffman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 829 American Legion Hwy, Westport, MA 02790 Phone: 508-306-1400
Siobhan Brady, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 829 American Legion Hwy, Westport, MA 02790 Phone: 508-306-1400 Fax: 978-371-0522

Grace Fantl, PA-C - Medicare Physician Assistant in Westport, MA