Dr Phyllis Montavon, PSYD, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. Her current practice location is
3450 E Russell Rd Ste 115, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 712-5431.
Dr Phyllis Montavon is licensed to practice in Nevada (license number LCSW 7031-C) 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 1235364522.
Healthcare Provider's Profile
| Full Name | Dr Phyllis Montavon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3450 E Russell Rd Ste 115, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235364522
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 02/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395075550
- Enrollment ID: I20191001002480
Medical Identifiers
Medical identifiers for Dr Phyllis Montavon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235364522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LADC - 01322-L (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW 7031-C (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. Dr Phyllis Montavon allows following entities to bill medicare on her behalf.
| Entity Name | Medtrans Behavioral Nevada Casal Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245781160
PECOS PAC ID: 7810259165
Enrollment ID: O20180326001159 |
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| Entity Name | Medtrans Medical Nevada Casal Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750846549
PECOS PAC ID: 1850632365
Enrollment ID: O20190410002272 |
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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. Dr Phyllis Montavon 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 |
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Dr Phyllis Montavon, PSYD, LCSW, LCADC
5172 Jewel Canyon Dr,
Las Vegas, NV 89122-8328
Ph: (702) 712-5431 | Dr Phyllis Montavon, PSYD, LCSW, LCADC
3450 E Russell Rd Ste 115,
Las Vegas, NV 89120-2201
Ph: (702) 712-5431 |
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