Dr Sandra Montijo, MD is a medicare enrolled "Pediatrics" physician in King City, California. Her current practice location is
210 Canal St, King City, California. You can reach out to her office (for appointments etc.) via phone at
(831) 385-5471.
Dr Sandra Montijo is licensed to practice in California (license number G60155) 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 1255316931.
Physician's Profile
| Full Name | Dr Sandra Montijo |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 210 Canal St, King City, California |
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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: 1255316931
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214988757
- Enrollment ID: I20050202000435
Medical Identifiers
Medical identifiers for Dr Sandra Montijo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255316931 | NPI | - | NPPES |
| G610551 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | G60155 (California) | 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. Dr Sandra Montijo allows following entities to bill medicare on her behalf.
| Entity Name | Southern Monterey County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20050216000803 |
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| Entity Name | Southern Monterey County Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20200521000977 |
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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. Dr Sandra Montijo 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 |
|---|
Dr Sandra Montijo, MD
210 Canal St,
King City, CA 93930-3432
Ph: (831) 385-5471 | Dr Sandra Montijo, MD
210 Canal St,
King City, CA 93930-3432
Ph: (831) 385-5471 |
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