Freddy L Montenegro, NP in Mesa, AZ - Medicare Nurse Practitioner

Freddy L Montenegro, NP is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Clinica La Familia Pc and his current practice location is 616 E Southern Ave Ste 103, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 569-3999.

Freddy L Montenegro is licensed to practice in Arizona (license number AP5467) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306141213.

Contact Information

	Freddy L Montenegro, NP
	616 E Southern Ave Ste 103, Mesa, AZ 85204
	(602) 569-3999
	(602) 569-3887

Map and Direction

Provider's Profile

Full Name	Freddy L Montenegro
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	616 E Southern Ave Ste 103, Mesa, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Freddy L Montenegro graduated from nursing school in 2010

NPI Data:

NPI Number: 1306141213
Provider Enumeration Date: 01/24/2011
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 4082847009
Enrollment ID: I20140428002080

Medical Identifiers

Medical identifiers for Freddy L Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306141213	NPI	-	NPPES
890635	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19900 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	AP5467 (Arizona)	Primary
363L00000X	Nurse Practitioner	19900 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinica La Familia Pc	4082694781	35

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. Freddy L Montenegro allows following entities to bill medicare on his behalf.

Entity Name	Clinica La Familia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780668921 PECOS PAC ID: 4082694781 Enrollment ID: O20040722001287

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Freddy L Montenegro 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
Freddy L Montenegro, NP 1533 E Willetta St, Phoenix, AZ 85006-2935 Ph: (602) 569-3999	Freddy L Montenegro, NP 616 E Southern Ave Ste 103, Mesa, AZ 85204 Ph: (602) 569-3999

Reviews and Comments

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Freddy L Montenegro, NP - Medicare Nurse Practitioner in Mesa, AZ