Mountain Mobile Wound Care is a medicare enrolled "Nurse Practitioner - Family" provider in Missoula, Montana. Their current practice location is
1801 Selway Dr, Missoula, Montana. You can reach out to their office (for appointments etc.) via phone at
(406) 240-4593.
Mountain Mobile Wound Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mountain Mobile Wound Care
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114050481.
Healthcare Provider's Profile
| Full Name | Mountain Mobile Wound Care |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1801 Selway Dr, Missoula, Montana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1114050481
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597292359
- Enrollment ID: O20241218002708
Medical Identifiers
Medical identifiers for Mountain Mobile Wound Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114050481 | NPI | - | NPPES |
| 0390422 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mountain Mobile Wound Care acts as a billing entity for following providers:
| Provider Name | John K Beighle |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1386642577
PECOS PAC ID: 5193716926
Enrollment ID: I20241206001705 |
|---|
| Provider Name | Chelsey H Sinclair |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1740006626
PECOS PAC ID: 1254868300
Enrollment ID: I20241231001908 |
|---|
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. Mountain Mobile Wound Care 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 |
|---|
Mountain Mobile Wound Care
1801 Selway Dr,
Missoula, MT 59808-9314
Ph: (406) 240-4593 | Mountain Mobile Wound Care
1801 Selway Dr,
Missoula, MT 59808-9314
Ph: (406) 240-4593 |
Reviews and Comments