Kenia Montero, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Miami, Florida. Her current practice location is
6750 Sw 155th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 943-4340.
Kenia Montero is licensed to practice in Florida (license number 11009979) 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 1134722127.
Healthcare Provider's Profile
| Full Name | Kenia Montero |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6750 Sw 155th Ave, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134722127
- Provider Enumeration Date: 11/20/2020
- Last Update Date: 10/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284081225
- Enrollment ID: I20231113001537
Medical Identifiers
Medical identifiers for Kenia Montero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134722127 | NPI | - | NPPES |
| APRN11009979 | Other | FL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11009979 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11009979 (Florida) | 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. Kenia Montero allows following entities to bill medicare on her behalf.
| Entity Name | Azure Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508459157
PECOS PAC ID: 6901205137
Enrollment ID: O20210520001422 |
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| Entity Name | Dgp Health & Wellness Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235723081
PECOS PAC ID: 6800295999
Enrollment ID: O20210521000956 |
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| Entity Name | Family United Health Community Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851994628
PECOS PAC ID: 3577964956
Enrollment ID: O20210623000139 |
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| Entity Name | Psychiatric Equilibrium Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669259537
PECOS PAC ID: 7012352271
Enrollment ID: O20240227002890 |
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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. Kenia Montero 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 |
|---|
Kenia Montero,
6750 Sw 155th Ave,
Miami, FL 33193-2115
Ph: (786) 943-4340 | Kenia Montero,
6750 Sw 155th Ave,
Miami, FL 33193-2115
Ph: (786) 943-4340 |
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