Autumn Montville, MD in Saint Paul, MN

Autumn Montville, MD is a medicare enrolled "Pediatrics" physician in Saint Paul, Minnesota. Her current practice location is 345 Smith Ave N, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 813-6000.

Autumn Montville is licensed to practice in Minnesota (license number 66038) 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 1962999862.

Contact Information

	Autumn Montville, MD
	345 Smith Ave N, Saint Paul, MN 55102-2346
	(612) 813-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Autumn Montville
Gender	Female
Speciality	Pediatrics
Location	345 Smith Ave N, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962999862
Provider Enumeration Date: 04/16/2018
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 4486901469
Enrollment ID: I20190821004488

Medical Identifiers

Medical identifiers for Autumn Montville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962999862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	29302 (Minnesota)	Secondary
208000000X	Pediatrics	66038 (Minnesota)	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. Autumn Montville allows following entities to bill medicare on her behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Autumn Montville 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
Autumn Montville, MD 345 Smith Ave N, Saint Paul, MN 55102-2346 Ph: (612) 813-6000	Autumn Montville, MD 345 Smith Ave N, Saint Paul, MN 55102-2346 Ph: (612) 813-6000

Reviews and Comments

Pediatrics Doctors in Saint Paul, MN

Emily Marie Schaaf, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-578-5258
Dr. Elizabeth Zorn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N Ste 505, Saint Paul, MN 55102 Phone: 512-206-2606 Fax: 651-220-7777
James Grinols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7021 Fax: 651-641-7151
Dr. Amy Rebecca Borden, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6914
Laurel E Cederberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6295
Dr. Richard Louis Baron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1804 7th St W, Suite 200, Saint Paul, MN 55116 Phone: 651-227-7806 Fax: 651-256-6766
Kent W Wegmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807

Autumn Montville, MD - Medicare Pediatrics in Saint Paul, MN