Brooke Nichole Montes, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in San Angelo, Texas. Her current practice location is
120 E Beauregard Ave, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at
(253) 658-1511.
Brooke Nichole Montes is licensed to practice in Texas (license number 1048920) 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 1215602412.
Physician's Profile
| Full Name | Brooke Nichole Montes |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 120 E Beauregard Ave, San Angelo, Texas |
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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: 1215602412
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 05/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951708692
- Enrollment ID: I20210923001394
Medical Identifiers
Medical identifiers for Brooke Nichole Montes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215602412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1048920 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1048920 (Texas) | 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. Brooke Nichole Montes allows following entities to bill medicare on her behalf.
| Entity Name | Shannon Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702 |
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| Entity Name | La Esperanza Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770584187
PECOS PAC ID: 7416942933
Enrollment ID: O20040415000585 |
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| Entity Name | Senior Psychcare Of Dallas I Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942596903
PECOS PAC ID: 2466625371
Enrollment ID: O20111109000103 |
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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. Brooke Nichole Montes 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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Brooke Nichole Montes, FNP
14333 Caribe St,
Corpus Christi, TX 78418-6010
Ph: (361) 510-9726 | Brooke Nichole Montes, FNP
120 E Beauregard Ave,
San Angelo, TX 76903-5919
Ph: (253) 658-1511 |
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