Mrs Jane Kathryn Montavon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brooksville, Florida. Her current practice location is
17222 Hospital Blvd Ste 226, Brooksville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 678-5550.
Mrs Jane Kathryn Montavon is licensed to practice in Florida (license number SW17055) 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 1669084513.
Healthcare Provider's Profile
Full Name | Mrs Jane Kathryn Montavon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 17222 Hospital Blvd Ste 226, Brooksville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669084513
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769871813
- Enrollment ID: I20211111002155
Medical Identifiers
Medical identifiers for Mrs Jane Kathryn Montavon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669084513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW17055 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW17055 (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. Mrs Jane Kathryn Montavon allows following entities to bill medicare on her behalf.
Entity Name | Solace Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760732887 PECOS PAC ID: 1254584667 Enrollment ID: O20130116000145 |
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Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
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Entity Name | Brave Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
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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. Mrs Jane Kathryn Montavon 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 Jane Kathryn Montavon, LCSW 4800 Rowan Rd, New Port Richey, FL 34653-5609 Ph: (727) 483-5912 | Mrs Jane Kathryn Montavon, LCSW 17222 Hospital Blvd Ste 226, Brooksville, FL 34601-8925 Ph: (352) 678-5550 |
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