Ms Phyllis Yvonne Montavon, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. Her current practice location is
4560 S Eastern Ave Ste 13, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 613-7060.
Ms Phyllis Yvonne Montavon is licensed to practice in Nevada (license number LCSW 7031-C) 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 1235364522.
Healthcare Provider's Profile
| Full Name | Ms Phyllis Yvonne Montavon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4560 S Eastern Ave Ste 13, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1235364522
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 09/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 5395075550
- Enrollment ID: I20191001002480
Medical Identifiers
Medical identifiers for Ms Phyllis Yvonne Montavon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235364522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LADC - 01322-L (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW 7031-C (Nevada) | 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. Ms Phyllis Yvonne Montavon allows following entities to bill medicare on her behalf.
| Entity Name | Medtrans Behavioral Nevada Casal Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245781160
PECOS PAC ID: 7810259165
Enrollment ID: O20180326001159 |
|---|
| Entity Name | Medtrans |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1871915892
PECOS PAC ID: 9739437815
Enrollment ID: O20180806002709 |
|---|
| Entity Name | Medtrans Medical Nevada Casal Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750846549
PECOS PAC ID: 1850632365
Enrollment ID: O20190410002272 |
|---|
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. Ms Phyllis Yvonne 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 |
|---|
Ms Phyllis Yvonne Montavon, LCSW, LADC
5172 Jewel Canyon Dr,
Las Vegas, NV 89122-8328
Ph: (702) 613-7060 | Ms Phyllis Yvonne Montavon, LCSW, LADC
4560 S Eastern Ave Ste 13,
Las Vegas, NV 89119-6182
Ph: (702) 613-7060 |
Reviews and Comments