Mrs Bozena Beata Montes, AGNP, ACNP in Salt Lake City, UT

Mrs Bozena Beata Montes, AGNP, ACNP is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Santibanez Pac Utah, Salt Lake Behavioral Health Llc and her current practice location is 3802 S 700 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 264-6000.

Mrs Bozena Beata Montes is licensed to practice in Utah (license number 11334524-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558778902.

Contact Information

	Mrs Bozena Beata Montes, AGNP, ACNP
	3802 S 700 E, Salt Lake City, UT 84106-1182
	(801) 264-6000
	(801) 564-6098

Map and Direction

Provider's Profile

Full Name	Mrs Bozena Beata Montes
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	3802 S 700 E, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Bozena Beata Montes graduated from nursing school in 2014

NPI Data:

NPI Number: 1558778902
Provider Enumeration Date: 07/17/2014
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5395963987
Enrollment ID: I20210106000215

Medical Identifiers

Medical identifiers for Mrs Bozena Beata Montes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558778902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11334524-4405 (Utah)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	11334524-4405 (Utah)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	11334524-4405 (Utah)	Secondary
363L00000X	Nurse Practitioner	11334524-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Santibanez Pac Utah	1355785437	23
Salt Lake Behavioral Health Llc	6709915473	6

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. Mrs Bozena Beata Montes allows following entities to bill medicare on her behalf.

Entity Name	Odyssey House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116

Entity Name	Salt Lake Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189

Entity Name	On Call Doc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598005340 PECOS PAC ID: 4688812985 Enrollment ID: O20130528000594

Entity Name	Santibanez Pac Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756

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. Mrs Bozena Beata Montes 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
Mrs Bozena Beata Montes, AGNP, ACNP 15024 S Rose Creek Ln, Herriman, UT 84096-3639 Ph: (773) 653-9622	Mrs Bozena Beata Montes, AGNP, ACNP 3802 S 700 E, Salt Lake City, UT 84106-1182 Ph: (801) 264-6000

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Mrs Bozena Beata Montes, AGNP, ACNP - Medicare Nurse Practitioner in Salt Lake City, UT