| Mackenzie Blair Montag, PNP | |
|
10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124-5321 | |
| (303) 790-1515 | |
| (303) 790-1989 |
| Full Name | Mackenzie Blair Montag |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 10465 Park Meadows Dr Ste 201, Lone Tree, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609439371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN.1632920 (Colorado) | Primary |
| Entity Name | Healthone Clinic Services - Pediatric Specialties Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720293251 PECOS PAC ID: 2365535572 Enrollment ID: O20070904000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Blair Montag, PNP 10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124-5321 Ph: (303) 790-1515 | Mackenzie Blair Montag, PNP 10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124-5321 Ph: (303) 790-1515 |
Mrs. Michelle R Stelter, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy Ste 221, Lone Tree, CO 80124 Phone: 303-662-1191 Fax: 303-662-1342 | |
Ms. Mary Silverman Pugh, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-2200 Fax: 720-225-2269 | |
Terri Lynn Markham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9218 Kimmer Dr Ste 207, Lone Tree, CO 80124 Phone: 720-493-9006 Fax: 720-242-7520 | |
Colleen Campbell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Sayuri Morishita, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9695 S Yosemite St Ste 324, Lone Tree, CO 80124 Phone: 303-706-9054 Fax: 303-302-9799 | |
Ms. Amy Marlene Deviney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9218 Kimmer Dr Ste 207, Lone Tree, CO 80124 Phone: 720-493-9006 Fax: 720-242-7520 | |
Courtney Holley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 303-877-6024 |