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Dr. Jackie S Fantes

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jackie S Fantes
Gender: F
Provider License Number If Given: 261649

NPI Information:

NPI: 1275530719
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/30/2005

Last Update Date: 1/28/2015

Reputation Report:

Provider Business Mailing Address:

Address: 10 GOVE ST
East Boston, MA 02128
Phone Number: 6175695800
Fax Number: 6175684780

Provider Business Practice Location Address:

Address: 10 GOVE ST
East Boston, MA 02128
Phone Number: 6175695800
Fax Number: 6175684780

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MA

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About Dr. Jackie S Fantes

Dr. Jackie S Fantes (DR. JACKIE S FANTES ) is Family Family Medicine Physician in East Boston, MA. The NPI Number for Dr. Jackie S Fantes is 1275530719.
The current location address for Dr. Jackie S Fantes is 10 GOVE ST East Boston, MA 02128 and the contact number is 6175695800 and fax number is 6175684780. The mailing address for Dr. Jackie S Fantes is 10 GOVE ST East Boston, MA 02128- 6175695800 (mailing address contact number - 6175695800).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jackie S Fantes ?


Answer: The NPI Number for Dr. Jackie S Fantes is 1275530719

Where is Dr. Jackie S Fantes located?


Answer: Dr. Jackie S Fantes is located at 10 GOVE ST East Boston, MA 02128.

What is the specialty for Dr. Jackie S Fantes ?


Answer: The Specialty of Dr. Jackie S Fantes is Family Family Medicine Physician.

Are there any online reviews for Dr. Jackie S Fantes ?


Answer: Yes! Check It Now.

Are there any other health care providers in East Boston, MA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jackie S Fantes

Number of HCPCS 11
Number of Medicare Beneficiaries 26
Number of Services 36
Total Submitted Charge Amount 3676
Total Medicare Allowed Amount 2691.94
Total Medicare Payment Amount 1890.08
Total Medicare Standardized Payment Amount 1742.02
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 26
Number of Medical Services 36
Total Medical Submitted Charge Amount 3676
Total Medical Medicare Allowed Amount 2691.94
Total Medical Medicare Payment Amount 1890.08
Total Medical Medicare Standardized Payment Amount 1742.02
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 13
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.42
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.9768

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 231
Number of Standardized 30-Day Fills 401.8
Aggregate Cost Paid for All Claims 25254.04
Number of Day's Supply for All Claims 11493
Number of Medicare Beneficiaries 76
Number of Claims, Including Refills, for Beneficiaries Age 65+ 158
Including Refills, for Beneficiaries Age 65+ 313.8
Beneficiaries Age 65+ 13226.09
Number of Day's Supply for All Claims for Beneficaries Age 65+ 9068
Number of Medicare Beneficiaries Age 65+ 59
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 185
Aggregate Cost Paid for Generic Drugs 4804.11
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 124
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 17628.56
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 107
Aggregate Cost Paid for Claims Filled by 7625.48
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 159
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 21447.76
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 72
by Low-Income Subsidy 3806.28
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 69.434210526
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 31
Number of Beneficiaries Age 75 to 84 22
Number of Female Beneficiaries 52
Number of Male Beneficiaries 24
Number of Non-Hispanic White 49
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 21
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 35
Average Hierarchical Condition Category 1.1957837573

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