400 C ST
SALT LAKE CITY, UT 84143-1005 US Accepts Medicare Payment
PECOS Enrolled
Overview
David M Fantle is a Neurologist in the SALT LAKE CITY area and has over 30 years of experience. David M Fantle primary office location is at 400 C ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1205852613 and the information was updated approximately 16 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 3344141205 | UT |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Neurologist - Taxonomy Code 2084N0400X | UT | Y |
Quality Reporting:
|
Accepts Medicare Assignment:
Yes If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount. |
| Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No |
| Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No |
| Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No |
| Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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