Paul M Montoya, MD - Medicare Family Practice in Starke, FL

Paul M Montoya, MD is a medicare enrolled "Family Medicine" physician in Starke, Florida. He went to Creighton University School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Starke Family Medical Center Inc, El Rio Santa Cruz Neighborhood Health Center Inc and his current practice location is 345 W Madison St, Starke, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 964-5455.

Paul M Montoya is licensed to practice in Florida (license number ME125680) 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 1811901390.

Contact Information

Paul M Montoya, MD
345 W Madison St,
Starke, FL 32091-3923
(904) 964-5455
(904) 964-4099

Map and Direction




Physician's Profile

Full NamePaul M Montoya
GenderMale
SpecialityFamily Practice
Experience21 Years
Location345 W Madison St, Starke, Florida
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:
  • Paul M Montoya attended and graduated from Creighton University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1811901390
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 04/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7315048667
  • Enrollment ID: I20160224000657

Medical Identifiers

Medical identifiers for Paul M Montoya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811901390NPI-NPPES
47068731734MedicaidNE
015967300MedicaidFL
10025238700MedicaidNE
1811901390MedicaidIA
33181OtherFLBCBS FLORIDA
10025464000MedicaidNE
47068731741MedicaidNE
47068731749MedicaidNE
50056OtherNEBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 24166 (Nebraska)Secondary
207Q00000XFamily Medicine ME125680 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarasota Memorial HospitalSarasota, FLHospital
North Florida Regional Medical CenterGainesville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Starke Family Medical Center Inc01432077048
El Rio Santa Cruz Neighborhood Health Center Inc6305739244242

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. Paul M Montoya allows following entities to bill medicare on his behalf.
Entity NameStarke Family Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487727038
PECOS PAC ID: 0143207704
Enrollment ID: O20040701000581

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. Paul M Montoya 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
Paul M Montoya, MD
345 W Madison St,
Starke, FL 32091-3923

Ph: (904) 964-5455
Paul M Montoya, MD
345 W Madison St,
Starke, FL 32091-3923

Ph: (904) 964-5455

Reviews and Comments


Family Medicine Doctors in Starke, FL

Dr. Dung Nguyen Le, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1550 S Water St, Starke, FL 32091
Phone: 904-368-2480    Fax: 904-368-2481
Mrs. Joelle M Innocent-simon, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1550 S Water St, Starke, FL 32091
Phone: 904-368-2489    Fax: 904-368-2493
Mrs. Lyla Marie Smith, APRN, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 550 Georgia St, Starke, FL 32091
Phone: 904-364-2900    Fax: 904-364-2901
Mrs. Natalia Anatolievna Shiriaeva, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1546 S Water St, Starke, FL 32091
Phone: 904-964-1888    Fax: 904-964-1884
Dona Hunt, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1550 S Water St, Starke, FL 32091
Phone: 904-368-2480    Fax: 904-368-2482
Dr. Kevin Benjamine Mcbride, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1550 S Water St, Starke, FL 32091
Phone: 904-368-2480    Fax: 904-368-2481

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.