Dr Elaine Alexis Montouris, MD | |
136 Smoke Rise Dr, Warren, NJ 07059-6821 | |
(908) 581-5668 | |
(732) 271-5853 |
Full Name | Dr Elaine Alexis Montouris |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 136 Smoke Rise Dr, Warren, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992878334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA00071469 (New Jersey) | Secondary |
207R00000X | Internal Medicine | MD052220L (Pennsylvania) | Primary |
Entity Name | Cleanslate Medical Group Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184177263 PECOS PAC ID: 8426334400 Enrollment ID: O20170405000660 |
Mailing Address | Practice Location Address |
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Dr Elaine Alexis Montouris, MD 136 Smoke Rise Dr, Warren, NJ 07059-6821 Ph: (908) 581-5668 | Dr Elaine Alexis Montouris, MD 136 Smoke Rise Dr, Warren, NJ 07059-6821 Ph: (908) 581-5668 |
Lakshmi Prasad, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 Mountain Blvd, Suite 9, Warren, NJ 07059 Phone: 908-769-9600 Fax: 908-769-9610 | |
Dr. Juan Baez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Mountain Ave, Warren, NJ 07059 Phone: 908-899-1019 Fax: 908-448-2482 | |
Rekha Agrawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Orchard Way, Warren, NJ 07059 Phone: 908-418-0409 Fax: 908-363-1013 | |
Dr. Carole Filowitz Lytle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Mountain Blvd, Warren, NJ 07059 Phone: 908-769-0100 Fax: 908-769-2512 | |
Dr. Oxana Ovakimyan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 266 King George Rd Ste I, Warren, NJ 07059 Phone: 908-754-0975 Fax: 908-754-0260 | |
Dr. George William Lutz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059 Phone: 732-356-5665 Fax: 732-356-0507 | |
Dr. Thomas H Kloos, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 266 King George Rd, Suite F, Warren, NJ 07059 Phone: 908-698-4784 Fax: 908-607-1909 |