Active NPI
Benjamin Alan Fontaine, PA-C
- Physician Assistant
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5401
- Practice address
- 777 North St
Pittsfield, MA 01201-4147 - Phone
- (413) 499-8551
- NPI assigned
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5401 | MA | Primary |
Addresses
Primary practice location
777 North St
Pittsfield, MA 01201-4147
Mailing address
777 North Street
Pittsield, MA 01021
Phone (413) 499-8551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
777 N St
Suite 207
Pittsfield, MA 01201-4123
Phone (413) 499-8510
780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498
Hospital & facility affiliations
- Berkshire Medical Center
- Fairview Hospital
- North Adams Regional Hospital Corporation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients | |
| Hillcrest Family Health Center | Past | Accepting new patients |
Locations
230 Main St
Agawam, MA 01001
Phone (413) 733-6700
444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
777 North St
Ste 201A
Pittsfield, MA 01201
Phone (413) 499-8551
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
Interoperability endpoints
- benjaminfontaine@bfs.medalliesdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1265023154
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1750764247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NORTH STREET",
"city": "PITTSIELD",
"state": "MA",
"postal_code": "01021",
"telephone_number": "413-499-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-499-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "BENJAMIN",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2022-04-06",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.