Manuel A Proenza, DO in Great Falls, MT

Manuel A Proenza, DO is a medicare enrolled "Pediatrics" physician in Great Falls, Montana. His current practice location is 1101 26th St S, Great Falls, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 731-8888.

Manuel A Proenza is licensed to practice in Montana (license number 142414) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336401256.

Contact Information

	Manuel A Proenza, DO
	1101 26th St S, Great Falls, MT 59405-5161
	(406) 731-8888
	(406) 731-8318

Map and Direction

Physician's Profile

Full Name	Manuel A Proenza
Gender	Male
Speciality	Pediatrics
Location	1101 26th St S, Great Falls, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336401256
Provider Enumeration Date: 06/15/2012
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 9931348521
Enrollment ID: I20150717001132

Medical Identifiers

Medical identifiers for Manuel A Proenza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336401256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO1964 (Nevada)	Secondary
208000000X	Pediatrics	142414 (Montana)	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. Manuel A Proenza allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942

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. Manuel A Proenza 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
Manuel A Proenza, DO Po Box 6010, Great Falls, MT 59406-6010 Ph: (406) 731-8888	Manuel A Proenza, DO 1101 26th St S, Great Falls, MT 59405-5161 Ph: (406) 731-8888

Reviews and Comments

Pediatrics Doctors in Great Falls, MT

Dr. Guy C Venuti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 4th St S, Great Falls, MT 59401 Phone: 406-454-6973 Fax: 406-791-9277
Colleen M Marron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 406-454-2171 Fax: 406-771-3021
Jordan Lejeune, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8876
Dr. Kris A Kuper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Division Rd, Great Falls, MT 59404 Phone: 406-268-1600 Fax: 460-771-3549
Jeffrey P Hinz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Division Rd, Great Falls, MT 59404 Phone: 406-268-1600 Fax: 406-771-3549
Mr. Michael K Garver, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 926 13th Ave S, Premier Care Pediatrics, Great Falls, MT 59405 Phone: 406-770-3000 Fax: 406-770-3146
Nancy J Maynard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 406-454-2171 Fax: 406-771-3021

Manuel A Proenza, DO - Medicare Pediatrics in Great Falls, MT