Mrs Colleen Aletha Montaque, is a
Registered Nurse - Emergency physician based in Dacula, Georgia. Mrs Colleen Aletha Montaque is licensed to practice in Georgia (license number RN221313) and her current practice location is 2926 Mill Park Ct, Dacula, Georgia. She can be reached at her office (for appointments etc.) via phone at
(347) 678-2865.
NPI number for Mrs Colleen Aletha Montaque is 1134607286 and her current mailing address is 2926 Mill Park Ct, Dacula, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134607286.
Physician's Profile
Full Name | Mrs Colleen Aletha Montaque |
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Gender | Female |
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Speciality | Registered Nurse - Emergency |
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Location | 2926 Mill Park Ct, Dacula, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134607286
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 12/07/2023
Medical Identifiers
Medical identifiers for Mrs Colleen Aletha Montaque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134607286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN221313 (Georgia) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | RN221313 (Georgia) | Secondary |
163WE0003X | Registered Nurse - Emergency | RN221313 (Georgia) | 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. Mrs Colleen Aletha Montaque 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 |
Mrs Colleen Aletha Montaque, 2926 Mill Park Ct, Dacula, GA 30019-3254 Ph: (347) 678-2865 | Mrs Colleen Aletha Montaque, 2926 Mill Park Ct, Dacula, GA 30019-3254 Ph: (347) 678-2865 |
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