Michael Jerome Monahan, is a medicare enrolled "Emergency Medicine" physician in Holyoke, Colorado. His current practice location is
1001 E Johnson St, Holyoke, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 854-2241.
Michael Jerome Monahan is licensed to practice in Colorado (license number 22502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235116328.
Physician's Profile
| Full Name | Michael Jerome Monahan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1001 E Johnson St, Holyoke, Colorado |
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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: 1235116328
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 10/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749472082
- Enrollment ID: I20101005001207
Medical Identifiers
Medical identifiers for Michael Jerome Monahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235116328 | NPI | - | NPPES |
| 930080436 | Other | CO | PAILROAD MEDICARE PIN |
| 01225028 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DR.0022502 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | 22502 (Colorado) | 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. Michael Jerome Monahan allows following entities to bill medicare on his behalf.
| Entity Name | East Phillips County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891733879
PECOS PAC ID: 9638161615
Enrollment ID: O20040331000584 |
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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. Michael Jerome Monahan 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 |
|---|
Michael Jerome Monahan,
Po Box 1175,
Englewood, CO 80150-1175
Ph: (303) 306-7783 | Michael Jerome Monahan,
1001 E Johnson St,
Holyoke, CO 80734-1854
Ph: (970) 854-2241 |
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