Vantage Healthcare - Medicare Primary Care in Canton, MA

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Vantage Healthcare is a medicare enrolled primary clinic (Internal Medicine) in Canton, Massachusetts. The current practice location for Vantage Healthcare is 45 Dan Rd, Canton, Massachusetts. For appointments, you can reach them via phone at (781) 867-2050. The mailing address for Vantage Healthcare is Po Box 620550, Newton Lower Falls, Massachusetts and phone number is (781) 867-2050.

Vantage Healthcare is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366903551. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (781) 867-2050.

Contact Information

Vantage Healthcare
45 Dan Rd
Canton
MA 02021
(781) 867-2050
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameVantage Healthcare
SpecialityInternal Medicine
Location45 Dan Rd, Canton, Massachusetts
Authorized Official Name and PositionJamie L Elliott (COO)
Authorized Official Contact7818672050
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vantage Healthcare
Po Box 620550
Newton Lower Falls
MA 02462-0550

Ph: (781) 867-2050		Vantage Healthcare
45 Dan Rd
Canton
MA 02021

Ph: (781) 867-2050

NPI Details:

NPI Number1366903551
Provider Enumeration Date03/29/2019
Last Update Date07/02/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8224361191
Medicare Enrollment IDO20190607000976

Medical Identifiers

Medical identifiers for Vantage Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366903551NPI-NPPES
3118438MedicaidNH
110153150AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vantage Healthcare acts as a billing entity for following providers:
Provider NameEllen M Westman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922092782
PECOS PAC ID: 7214839406
Enrollment ID: I20040127000569
Provider NameClaes M Nilsson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912006065
PECOS PAC ID: 2365435351
Enrollment ID: I20040406000501
Provider NameNancy Huggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245307743
PECOS PAC ID: 9032109087
Enrollment ID: I20040513000365
Provider NameAnthony Gibran Eaton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831193101
PECOS PAC ID: 9931187101
Enrollment ID: I20040713000865
Provider NameDebra A Hussey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801855432
PECOS PAC ID: 6709847247
Enrollment ID: I20041019000932
Provider NameBrian C Fellows
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548211659
PECOS PAC ID: 6103874722
Enrollment ID: I20050110000912
Provider NamePaul A Bizinkauskas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578521415
PECOS PAC ID: 6406806322
Enrollment ID: I20050128000223
Provider NameJan P Urkevic
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609983741
PECOS PAC ID: 3577503739
Enrollment ID: I20050506000189
Provider NameDenise Ann Petrella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669527354
PECOS PAC ID: 4284663592
Enrollment ID: I20050808000301
Provider NameHeather A Bryant Mckenney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912111733
PECOS PAC ID: 5193750016
Enrollment ID: I20050929000444
Provider NameJoy L Osborne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952542607
PECOS PAC ID: 1557375920
Enrollment ID: I20060206000750
Provider NameRamon Espinosa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245287838
PECOS PAC ID: 1456360189
Enrollment ID: I20060407000375
Provider NameDemetrius Rizos
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1063491397
PECOS PAC ID: 0648379180
Enrollment ID: I20070623000067
Provider NameIrene I Tsirozidou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912964610
PECOS PAC ID: 2466544119
Enrollment ID: I20070825000007
Provider NameErica Mcisaac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457530032
PECOS PAC ID: 6103915038
Enrollment ID: I20071130000080
Provider NameBeth A Connell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225228562
PECOS PAC ID: 8921188152
Enrollment ID: I20071231000129
Provider NameVivienne Yumasi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528242203
PECOS PAC ID: 6406938703
Enrollment ID: I20080125000175
Provider NameAlireza Toossi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780871970
PECOS PAC ID: 4688764541
Enrollment ID: I20081017000329
Provider NameDidie C Watsop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215113279
PECOS PAC ID: 9436217866
Enrollment ID: I20081029000069
Provider NameSaira Nisar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114182680
PECOS PAC ID: 1850438714
Enrollment ID: I20091026000304
Provider NameRosemary A Storer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659422004
PECOS PAC ID: 1850435132
Enrollment ID: I20100224000799
Provider NameTimothy Odonnell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346206091
PECOS PAC ID: 5395877625
Enrollment ID: I20100721000767
Provider NameJulius Tabe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801093356
PECOS PAC ID: 8729104963
Enrollment ID: I20100925000052
Provider NameDeepthi Pandraju
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073734901
PECOS PAC ID: 6800081464
Enrollment ID: I20101109001488
Provider NameCarissa M Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821307646
PECOS PAC ID: 2264627132
Enrollment ID: I20101117001009
Provider NameShideh Amirifeli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083763890
PECOS PAC ID: 2062600877
Enrollment ID: I20101221000569
Provider NameFabian Delgado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629277454
PECOS PAC ID: 4082802368
Enrollment ID: I20101230000977
Provider NameVishal Kuchaculla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386837342
PECOS PAC ID: 5799832853
Enrollment ID: I20110325000565
Provider NameJulie Mcgondel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487924445
PECOS PAC ID: 4789847369
Enrollment ID: I20120517000453
Provider NameMarielle Pitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518215490
PECOS PAC ID: 0840441879
Enrollment ID: I20121121000234
Provider NameJatinder Aujla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275700825
PECOS PAC ID: 7214000207
Enrollment ID: I20121226000197
Provider NamePaul Phillip Bergeron
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316931355
PECOS PAC ID: 3577594399
Enrollment ID: I20130321000363
Provider NameNelson K Aweh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891923199
PECOS PAC ID: 0749423507
Enrollment ID: I20130826000835
Provider NameMargarita Castro-zarraga
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578705679
PECOS PAC ID: 5991948259
Enrollment ID: I20130905000642
Provider NameAmanda Hernandez
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1891062691
PECOS PAC ID: 4880847102
Enrollment ID: I20130910000234
Provider NameNnamdi O Amaechina
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1144531518
PECOS PAC ID: 7810123106
Enrollment ID: I20131114001122
Provider NameAbila Benazea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619305521
PECOS PAC ID: 5193955888
Enrollment ID: I20140225000473
Provider NameMarie-helene Almonor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972661064
PECOS PAC ID: 6103832365
Enrollment ID: I20140523000566
Provider NameCheryl A Rothwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376777458
PECOS PAC ID: 0143440966
Enrollment ID: I20140930000833
Provider NameScott B Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720488935
PECOS PAC ID: 3870715162
Enrollment ID: I20141121001153
Provider NameDaria Marie Hanson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992865901
PECOS PAC ID: 8123012291
Enrollment ID: I20141124001752
Provider NameDavid S Westrin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285035576
PECOS PAC ID: 6305168410
Enrollment ID: I20141201000241
Provider NameYves R Frederic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912391970
PECOS PAC ID: 6709197023
Enrollment ID: I20150612000927
Provider NameTiffany Lynne Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083028716
PECOS PAC ID: 0941428742
Enrollment ID: I20150918000444
Provider NameChirin Al Dalati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003166885
PECOS PAC ID: 9638489867
Enrollment ID: I20151030000651
Provider NameKarri A Crowley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780060426
PECOS PAC ID: 6305156027
Enrollment ID: I20151110000942
Provider NameKaren Ann Messier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295110732
PECOS PAC ID: 1456661917
Enrollment ID: I20151112002008
Provider NameAnthony Bartley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922362003
PECOS PAC ID: 1355645383
Enrollment ID: I20160211000133
Provider NameSamila Francois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134588106
PECOS PAC ID: 6305137779
Enrollment ID: I20160615002610
Provider NameMario C Corpuz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649529033
PECOS PAC ID: 2163714379
Enrollment ID: I20160708001155
Provider NameAlicyn M Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245689652
PECOS PAC ID: 0345534715
Enrollment ID: I20160808001292
Provider NameKristin M Tierney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811311160
PECOS PAC ID: 5991924946
Enrollment ID: I20160915001248
Provider NameMichael Joseph Mentakis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811988033
PECOS PAC ID: 7416987763
Enrollment ID: I20161017000292
Provider NameRebecca Donadio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871950733
PECOS PAC ID: 4385923010
Enrollment ID: I20161121000033
Provider NameStephen Vanderels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336507193
PECOS PAC ID: 6709165343
Enrollment ID: I20161122001432
Provider NameCarrie Ames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801341391
PECOS PAC ID: 3476832064
Enrollment ID: I20161123000807
Provider NameTaylor L Andromidas
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093183501
PECOS PAC ID: 5890075782
Enrollment ID: I20161212001362
Provider NamePeterson Remy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972059665
PECOS PAC ID: 1052682515
Enrollment ID: I20170802002510
Provider NameSusan C Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174800957
PECOS PAC ID: 7911210836
Enrollment ID: I20170828003960
Provider NameStella Uchendu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891232906
PECOS PAC ID: 9436416492
Enrollment ID: I20171129000733
Provider NameCherie Wildrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083151260
PECOS PAC ID: 3476810300
Enrollment ID: I20171201001724
Provider NameCornelius N Bela
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962912964
PECOS PAC ID: 2062771942
Enrollment ID: I20180123000903
Provider NameJamie A Folan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962954560
PECOS PAC ID: 0143503961
Enrollment ID: I20180328002627
Provider NameClaude Lyne Valcin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144459876
PECOS PAC ID: 5294972238
Enrollment ID: I20180607000684
Provider NameAndrea Davin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669958641
PECOS PAC ID: 2365786068
Enrollment ID: I20181206003120
Provider NameAlbert J Proia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134613185
PECOS PAC ID: 4082962717
Enrollment ID: I20190201001063
Provider NameMussa Mohamed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770993172
PECOS PAC ID: 3173883774
Enrollment ID: I20190522000649
Provider NameEghosa Idumwonyi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265894919
PECOS PAC ID: 1951698059
Enrollment ID: I20190925002175
Provider NameJonathan E Chester
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1174085278
PECOS PAC ID: 2961834726
Enrollment ID: I20191115001542
Provider NameJessica Dias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033568233
PECOS PAC ID: 9739511445
Enrollment ID: I20191119001558
Provider NameJamie Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730732199
PECOS PAC ID: 5597199737
Enrollment ID: I20191223000619
Provider NameLianna Partee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750936126
PECOS PAC ID: 9234568718
Enrollment ID: I20200403002297
Provider NameRosemonde Paulo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962059725
PECOS PAC ID: 3577992999
Enrollment ID: I20200407001220
Provider NameJean-merimee N Kouagheu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689208050
PECOS PAC ID: 3577982198
Enrollment ID: I20201001001074
Provider NameMehwash Naseem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528405677
PECOS PAC ID: 3678702958
Enrollment ID: I20201202002251
Provider NameEdwin Agbonavbare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386007631
PECOS PAC ID: 5496168080
Enrollment ID: I20201228000824
Provider NameTatiana Andrade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336731819
PECOS PAC ID: 5698182350
Enrollment ID: I20210324001437
Provider NameNicole Tzvetkova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366117764
PECOS PAC ID: 6406244755
Enrollment ID: I20211019002815
Provider NameDonna J Remmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760082366
PECOS PAC ID: 0840688578
Enrollment ID: I20211028001648
Provider NameShannon M Beck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114536463
PECOS PAC ID: 7214327733
Enrollment ID: I20211124000056
Provider NameKaren Magit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083223630
PECOS PAC ID: 1759777360
Enrollment ID: I20220407002016
Provider NameElizabeth Dow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962157537
PECOS PAC ID: 7719365097
Enrollment ID: I20220526002006
Provider NameAshley Leddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861095473
PECOS PAC ID: 5395158851
Enrollment ID: I20220804000201
Provider NameCharles H Ondobo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861929465
PECOS PAC ID: 5698044550
Enrollment ID: I20220929000577
Provider NameKristine Nordstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285695668
PECOS PAC ID: 0446217764
Enrollment ID: I20221220000452
Provider NameYekaterina Kukharchuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285332270
PECOS PAC ID: 8921463704
Enrollment ID: I20230501000595
Provider NameMaybelle Mbiatem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437888096
PECOS PAC ID: 5193181337
Enrollment ID: I20230515001193
Provider NamePeggy Claude Mathieu-martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144984733
PECOS PAC ID: 8224494885
Enrollment ID: I20230524001234
Provider NamePatricia Selig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437888799
PECOS PAC ID: 7113387614
Enrollment ID: I20230715000184
Provider NameBetty Gyamfi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093098923
PECOS PAC ID: 1759686579
Enrollment ID: I20230727003250
Provider NameVictor Okwukaogu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578287546
PECOS PAC ID: 2466814587
Enrollment ID: I20230821003341

Reviews and Comments


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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.