Mrs Alexandra Tique-montenegro, LCSW in Southlake, TX

Mrs Alexandra Tique-montenegro, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Southlake, Texas. Her current practice location is 431 E State Highway 114 Fl 1, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Mrs Alexandra Tique-montenegro 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 1902943939.

Contact Information

	Mrs Alexandra Tique-montenegro, LCSW
	431 E State Highway 114 Fl 1, Southlake, TX 76092-4412
	(844) 824-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Alexandra Tique-montenegro
Gender	Female
Speciality	Social Worker - Clinical
Location	431 E State Highway 114 Fl 1, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902943939
Provider Enumeration Date: 01/31/2007
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8820334881
Enrollment ID: I20210127003079

Medical Identifiers

Medical identifiers for Mrs Alexandra Tique-montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902943939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alexandra Tique-montenegro allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

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. Mrs Alexandra Tique-montenegro 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
Mrs Alexandra Tique-montenegro, LCSW 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 Ph: (817) 625-4254	Mrs Alexandra Tique-montenegro, LCSW 431 E State Highway 114 Fl 1, Southlake, TX 76092-4412 Ph: (844) 824-8775

Reviews and Comments

Social Worker in Southlake, TX

Mrs. Garen Gasparro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2435 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-812-2880
Miss Brenda Gomez Hendrix-smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Silicon Drive, Suite 100, Southlake, TX 76092 Phone: 817-416-7729
Emily Marquez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 191 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-488-0502 Fax: 817-488-0495
Todd Allen Gjerdevig, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 817-908-0296
Katherine Mccoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir, Southlake, TX 76092 Phone: 817-721-9330
Shannon Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 E Southlake Blvd Ste 160, Southlake, TX 76092 Phone: 817-897-8882 Fax: 817-953-8900
Katlin Anne Parsons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 817-697-4195 Fax: 817-697-4195

Mrs Alexandra Tique-montenegro, LCSW - Medicare Clinical Social Worker in Southlake, TX