Mrs Charlene Pontoriero, NP | |
107 Dilworth St, Glendive, MT 59330-2053 | |
(406) 345-8935 | |
(406) 345-8908 |
Full Name | Mrs Charlene Pontoriero |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 107 Dilworth St, Glendive, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457424244 | NPI | - | NPPES |
000063062 | Other | MT | BLUE CROSS OF MT |
005027 | Medicaid | ND | |
0720161 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R30872 (North Dakota) | Secondary |
363L00000X | Nurse Practitioner | 23960 (Montana) | Primary |
Entity Name | Williston Radiology Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942375852 PECOS PAC ID: 2365334828 Enrollment ID: O20041005001169 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charlene Pontoriero, NP 107 Dilworth St, Glendive, MT 59330-2053 Ph: (406) 345-8935 | Mrs Charlene Pontoriero, NP 107 Dilworth St, Glendive, MT 59330-2053 Ph: (406) 345-8935 |
Martin Shaver, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harmon St, Glendive, MT 59330 Phone: 406-815-5831 | |
Ryann Smelser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Dilworth St, Glendive, MT 59330 Phone: 406-345-8901 | |
Ms. Ruthann Rafacz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Dilworth St, Glendive, MT 59330 Phone: 406-345-8901 | |
Carolyn Jo Johnson, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Dilworth St, Glendive, MT 59330 Phone: 307-762-9999 | |
Mrs. Falecia Rader, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 Fax: 406-345-3358 | |
April Dawn Price, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Prospect Dr, Glendive, MT 59330 Phone: 406-345-3306 |