Dr Raul Montalvo, MD - Medicare Family Practice in Modesto, CA

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Dr Raul Montalvo, MD is a medicare enrolled "Family Medicine" physician in Modesto, California. He graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shane Speirs Md Pc and his current practice location is 1541 Florida Ave Ste 200, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 577-3388.

Dr Raul Montalvo is licensed to practice in California (license number A64247) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518967488.

Contact Information

Dr Raul Montalvo, MD
1541 Florida Ave Ste 200,
Modesto, CA 95350-4438
(209) 577-3388
(209) 575-3085

Map and Direction




Physician's Profile

Full NameDr Raul Montalvo
GenderMale
SpecialityFamily Practice
Experience30 Years
Location1541 Florida Ave Ste 200, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Raul Montalvo graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1518967488
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 01/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719040161
  • Enrollment ID: I20101203001260

Medical Identifiers

Medical identifiers for Dr Raul Montalvo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518967488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A64247 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Care At HomeSalida, CAHome health agency
Careone Home Health And Hospice, IncSalida, CAHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shane Speirs Md Pc135587574114

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 Raul Montalvo allows following entities to bill medicare on his behalf.
Entity NameShane Speirs MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750129672
PECOS PAC ID: 1355875741
Enrollment ID: O20241107001614

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 Raul Montalvo 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 AddressPractice Location Address
Dr Raul Montalvo, MD
1541 Florida Ave Ste 200,
Modesto, CA 95350-4438

Ph: (209) 577-3388		Dr Raul Montalvo, MD
1541 Florida Ave Ste 200,
Modesto, CA 95350-4438

Ph: (209) 577-3388

Reviews and Comments


Family Medicine Doctors in Modesto, CA

Pallavi Sharma, MD
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Dang Cong Nguyen, D.O.
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Giang Ngoc Lam, M.D.
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Phone: 209-577-3388    Fax: 209-523-0764
Cameron Perez, DO
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Ankur Gupta, MD
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Rex Scott Adamson, M.D.
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Phone: 209-538-1496    Fax: 209-538-9421
Darrell Robert Hansen, M.D.
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Practice Location: 1213 Coffee Rd, Ste A, Modesto, CA 95355
Phone: 209-549-9900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.