| Maria Theresa Montales, MD | |
|
1600 W 40th Ave, Pine Bluff, AR 71603-6301 | |
| (870) 541-8767 | |
| (870) 541-8761 |
| Full Name | Maria Theresa Montales |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 1600 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265889638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E-11043 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | E-11043 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-11043 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Drew Memorial Hospital | Monticello, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Hospital Association Inc | 8123927431 | 68 |
| Entity Name | Jefferson Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831387117 PECOS PAC ID: 3971673716 Enrollment ID: O20080604000802 |
| Entity Name | Southeast Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647 |
| Entity Name | Ess Of El Dorado, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861851131 PECOS PAC ID: 8325345432 Enrollment ID: O20160404001667 |
| Entity Name | Hospital Care Consultants Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Entity Name | Hcc Of El Dorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003578725 PECOS PAC ID: 1850789488 Enrollment ID: O20211101000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Theresa Montales, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Maria Theresa Montales, MD 1600 W 40th Ave, Pine Bluff, AR 71603-6301 Ph: (870) 541-8767 |
Carla Yvonne Pumphrey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 |