Dr Enrique C Montana, MD in Clarkston, WA - Surgery

Dr Enrique C Montana, MD is a Surgery physician based in Clarkston, Washington. Dr Enrique C Montana is licensed to practice in Washington (license number MD00047673) and his current practice location is 1119 Highland Ave Ste 6, Clarkston, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 254-2722.

NPI number for Dr Enrique C Montana is 1295718385 and his current mailing address is 1221 Highland Ave, Clarkston, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295718385.

Contact Information

	Dr Enrique C Montana, MD
	1119 Highland Ave Ste 6, Clarkston, WA 99403-2836
	(509) 254-2722
	(509) 769-2022

Physician's Profile

Full Name	Dr Enrique C Montana
Gender	Male
Speciality	Surgery
Location	1119 Highland Ave Ste 6, Clarkston, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1295718385
Provider Enumeration Date: 11/22/2005
Last Update Date: 10/29/2013

Medical Identifiers

Medical identifiers for Dr Enrique C Montana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295718385	NPI	-	NPPES
MD00047673	Other	WA	STATE LICENCE
020000619	Other	ID	TRAVLERS RAILROAD
0433632	Medicaid	ID
4466435	Other	ID	AETNA
000000027381	Other	ID	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	M- 10599 (Idaho)	Secondary
208600000X	Surgery	MD00047673 (Washington)	Primary

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. Dr Enrique C Montana is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Enrique C Montana, MD 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (509) 758-5511	Dr Enrique C Montana, MD 1119 Highland Ave Ste 6, Clarkston, WA 99403-2836 Ph: (509) 254-2722

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Dr Enrique C Montana, MD - Surgery in Clarkston, WA