Mayra Montijo, in Las Vegas, NV - Medicare Nurse Practitioner

Mayra Montijo, is a medicare enrolled "Nurse Practitioner - Family" in Las Vegas, Nevada. Her current practice location is 1706 W Bonanza Rd, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 631-6860.

Mayra Montijo is licensed to practice in Nevada (license number 860498) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659095735.

Contact Information

	Mayra Montijo,
	1706 W Bonanza Rd, Las Vegas, NV 89106-4704
	(702) 631-6860
	Not Available

Map and Direction

Provider's Profile

Full Name	Mayra Montijo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1706 W Bonanza Rd, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659095735
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0648649228
Enrollment ID: I20221205001467

Medical Identifiers

Medical identifiers for Mayra Montijo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659095735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	69268 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	860498 (Nevada)	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. Mayra Montijo allows following entities to bill medicare on her behalf.

Entity Name	Doyne Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710997291 PECOS PAC ID: 1951380955 Enrollment ID: O20100331000288

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. Mayra Montijo 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
Mayra Montijo, 7085 Ipe Wood Rd, Las Vegas, NV 89148-5023 Ph: () -	Mayra Montijo, 1706 W Bonanza Rd, Las Vegas, NV 89106-4704 Ph: (702) 631-6860

Reviews and Comments

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Mayra Montijo, - Medicare Nurse Practitioner in Las Vegas, NV