Maria Lydia Montenegro, MD is a
General Practice physician based in Medical Lake, Washington. Maria Lydia Montenegro is licensed to practice in Washington (license number MD00021239) and her current practice location is 2320 Salnave Rd, Lakeland Village, Medical Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 299-1836.
NPI number for Maria Lydia Montenegro is 1619005014 and her current mailing address is 2320 Salnave Rd, Lakeland Village, Medical Lake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619005014.
Physician's Profile
Full Name | Maria Lydia Montenegro |
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Gender | Female |
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Speciality | General Practice |
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Location | 2320 Salnave Rd, Medical Lake, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619005014
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Maria Lydia Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619005014 | NPI | - | NPPES |
1056597 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD00021239 (Washington) | Primary |
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. Maria Lydia Montenegro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maria Lydia Montenegro, MD 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 Ph: (509) 299-1836 | Maria Lydia Montenegro, MD 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 Ph: (509) 299-1836 |
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