Mariyan Montaque, DNP, FNP-BC is a medicare enrolled "Family Medicine" in Barre, Massachusetts. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heywood Medical Group Inc. and her current practice location is
151 Worcester Rd, Barre, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 355-6321.
Mariyan Montaque is licensed to practice in Massachusetts (license number RN2274743) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083081046.
Provider's Profile
Full Name | Mariyan Montaque |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 151 Worcester Rd, Barre, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mariyan Montaque graduated from nursing school in 2015
NPI Data:
- NPI Number: 1083081046
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 10/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850692708
- Enrollment ID: I20151217001450
Medical Identifiers
Medical identifiers for Mariyan Montaque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083081046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 070619-21 (New Hampshire) | Secondary |
163W00000X | Registered Nurse | 4704289575 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2274743 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | RN2274743 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Heywood Medical Group Inc. | 6901882836 | 81 |
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. Mariyan Montaque allows following entities to bill medicare on her behalf.
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
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Entity Name | Henry Heywood Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
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Entity Name | Heywood Medical Group Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
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Entity Name | Athol Memorial Hospital Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
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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. Mariyan Montaque 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 |
Mariyan Montaque, DNP, FNP-BC Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Mariyan Montaque, DNP, FNP-BC 151 Worcester Rd, Barre, MA 01005-9002 Ph: (978) 355-6321 |
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