Wilmarie Montero-negron, - Medicare Nurse Practitioner in Pottstown, PA

Wilmarie Montero-negron, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pottstown, Pennsylvania. Her current practice location is 11 Robinson St, Pottstown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 941-0500.

Wilmarie Montero-negron is licensed to practice in Pennsylvania (license number SP027590) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548965262.

Contact Information

Wilmarie Montero-negron,
11 Robinson St,
Pottstown, PA 19464-6421
(484) 941-0500
Not Available

Map and Direction




Provider's Profile

Full NameWilmarie Montero-negron
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location11 Robinson St, Pottstown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548965262
  • Provider Enumeration Date: 04/03/2023
  • Last Update Date: 09/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921467804
  • Enrollment ID: I20230711000244

Medical Identifiers

Medical identifiers for Wilmarie Montero-negron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548965262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN663776 (Pennsylvania)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP027590 (Pennsylvania)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. Wilmarie Montero-negron allows following entities to bill medicare on her behalf.
Entity NameCreative Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124194121
PECOS PAC ID: 2365340528
Enrollment ID: O20040109000892

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. Wilmarie Montero-negron 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 AddressPractice Location Address
Wilmarie Montero-negron,
11 Robinson St,
Pottstown, PA 19464-6421

Ph: (484) 941-0500
Wilmarie Montero-negron,
11 Robinson St,
Pottstown, PA 19464-6421

Ph: (484) 941-0500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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