Nessa Tantivit, MD in Boston, MA - Medicare Student in an Organized Health Care Education/Training Program

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.

Contact Information

	Nessa Tantivit, MD
	300 Longwood Ave, Boston, MA 02115-5724
	(617) 355-7476
	(617) 730-0194

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

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Nessa Tantivit, MD - Medicare Student in an Organized Health Care Education/Training Program in Boston, MA