Jorge Montequin, in Travis Afb, CA - Medicare Nurse Anesthetist, Certified Registered

Jorge Montequin, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3339.

Jorge Montequin is licensed to practice in Florida (license number 11020764) 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 1144954140.

Contact Information

	Jorge Montequin,
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-3339
	Not Available

Map and Direction

Provider's Profile

Full Name	Jorge Montequin
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144954140
Provider Enumeration Date: 07/14/2022
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 9931566759
Enrollment ID: I20230608002615

Medical Identifiers

Medical identifiers for Jorge Montequin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144954140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	11020764 (Florida)	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. Jorge Montequin allows following entities to bill medicare on his behalf.

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

Entity Name	Vallot Nurse Anesthesia, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811386246 PECOS PAC ID: 8820319213 Enrollment ID: O20150611000001

Entity Name	Baec Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114446291 PECOS PAC ID: 7214293430 Enrollment ID: O20171103002022

Entity Name	Green Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338

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. Jorge Montequin 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
Jorge Montequin, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339	Jorge Montequin, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3339

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589
Mr. Jerry Edward Glattfelt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535 Phone: 707-423-5370
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605

Jorge Montequin, - Medicare Nurse Anesthetist, Certified Registered in Travis Afb, CA