Suzana Mara Montana, MD in Peachtree Corners, GA

Suzana Mara Montana, MD is a medicare enrolled "Pediatrics" physician in Peachtree Corners, Georgia. Her current practice location is 3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 263-9101.

Suzana Mara Montana is licensed to practice in Georgia (license number 045097) 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 1417905878.

Contact Information

	Suzana Mara Montana, MD
	3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, GA 30092-2701
	(770) 263-9101
	(770) 263-9102

Map and Direction

Physician's Profile

Full Name	Suzana Mara Montana
Gender	Female
Speciality	Pediatrics
Location	3780 Holcomb Bridge Rd, Peachtree Corners, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417905878
Provider Enumeration Date: 05/05/2006
Last Update Date: 05/05/2015

Medicare PECOS Information:

PECOS PAC ID: 6305864455
Enrollment ID: I20180511000768

Medical Identifiers

Medical identifiers for Suzana Mara Montana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417905878	NPI	-	NPPES
000773209U	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	045097 (Georgia)	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. Suzana Mara Montana allows following entities to bill medicare on her behalf.

Entity Name	La Clinica Del Nino Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922131374 PECOS PAC ID: 7416975560 Enrollment ID: O20051107000825

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. Suzana Mara Montana 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
Suzana Mara Montana, MD 3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, GA 30092-2701 Ph: (770) 263-9101	Suzana Mara Montana, MD 3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, GA 30092-2701 Ph: (770) 263-9101

Reviews and Comments

Pediatrics Doctors in Peachtree Corners, GA

Lily Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4941 S Old Peachtree Rd Ste B, Peachtree Corners, GA 30092 Phone: 678-960-8316
Prof. Susan Orlando Allen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5185 Peachtree Pkwy, Suite 330, Peachtree Corners, GA 30092 Phone: 770-476-9885 Fax: 770-476-8482
Dr. Julian Gorvy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5185 Peachtree Pkwy, Suite 330, Peachtree Corners, GA 30092 Phone: 770-476-9885 Fax: 770-476-8482
Dr. Sheri Zager, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5185 Peachtree Pkwy, Suite 330, Peachtree Corners, GA 30092 Phone: 770-476-9885 Fax: 770-476-8482
Dr. Lori Desoutter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5185 Peachtree Pkwy, Suite 330, Peachtree Corners, GA 30092 Phone: 770-476-9885 Fax: 770-476-8482

Suzana Mara Montana, MD - Medicare Pediatrics in Peachtree Corners, GA