| Martha Elisa Montero, | |
|
1670 Eagle Harbor Pkwy, Orange Park, FL 32003-4820 | |
| (904) 644-0700 | |
| Not Available |
| Full Name | Martha Elisa Montero |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1670 Eagle Harbor Pkwy, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386893030 | NPI | - | NPPES |
| 010390100 | Medicaid | FL | |
| 003159802A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9218889 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9218889 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East West Anesthesia Llc | 8628449402 | 5 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | Jax Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | East West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194435651 PECOS PAC ID: 8628449402 Enrollment ID: O20230116000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Elisa Montero, 1670 Eagle Harbor Pkwy, Orange Park, FL 32003-4820 Ph: (904) 644-0700 | Martha Elisa Montero, 1670 Eagle Harbor Pkwy, Orange Park, FL 32003-4820 Ph: (904) 644-0700 |
Mr. Robert David Lafrance Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Natallia Michailovna Baldev, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1670 Eagle Harbor Pkwy, #b, Orange Park, FL 32003 Phone: 904-644-0700 Fax: 904-644-0759 | |
Mr. Darrel Anthony Kalinski, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1665 Kingsley Ave, Ste 105, Orange Park, FL 32073 Phone: 904-276-5400 | |
Joshua Ray Taylor, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Kaitlin Elizabeth Pfeiffer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-577-6096 | |
Russell Lee Burney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Julie Ann Corey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5400 Fax: 904-276-5430 |