Eric Monticello, APRN,CNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Winnebago, Wisconsin. His current practice location is
1300 South Drive, Winnebago, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 235-4910.
Eric Monticello is licensed to practice in Wisconsin (license number 8099) 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 1558816306.
Provider's Profile
| Full Name | Eric Monticello |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1300 South Drive, Winnebago, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558816306
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 10/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 4688961980
- Enrollment ID: I20160930000877
Medical Identifiers
Medical identifiers for Eric Monticello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558816306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R38492 (North Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 8099 (Wisconsin) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 295229 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R38492 (North Dakota) | Secondary |
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. Eric Monticello allows following entities to bill medicare on his behalf.
| Entity Name | Psj Acquisition LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679709802
PECOS PAC ID: 7012062235
Enrollment ID: O20090918000240 |
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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. Eric Monticello 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 |
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Eric Monticello, APRN,CNP
Po Box 9, 1300 South Drive,
Winnebago, WI 54985-0009
Ph: (920) 235-4910 | Eric Monticello, APRN,CNP
1300 South Drive,
Winnebago, WI 54985-5498
Ph: (920) 235-4910 |
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