Edward Michael Mondloch, CRNA is a
Nurse Anesthetist, Certified Registered based in Missoula, Montana. Edward Michael Mondloch is licensed to practice in Montana (license number 11350) and his current practice location is
700 W Kent Ave, Missoula, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 728-3501.
NPI number for Edward Michael Mondloch is 1013940261 and his current mailing address is Po Box 24251, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013940261.
Provider's Profile
Full Name | Edward Michael Mondloch |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 700 W Kent Ave, Missoula, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013940261
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 12/03/2007
Medical Identifiers
Medical identifiers for Edward Michael Mondloch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013940261 | NPI | - | NPPES |
433628 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 11350 (Montana) | Primary |
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. Edward Michael Mondloch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edward Michael Mondloch, CRNA Po Box 24251, Seattle, WA 98124-0251 Ph: (503) 372-2740 | Edward Michael Mondloch, CRNA 700 W Kent Ave, Missoula, MT 59801-6772 Ph: (406) 728-3501 |
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