Maria Lydia Montenegro, MD in Medical Lake, WA - General Practice

Maria Lydia Montenegro, MD is a General Practice physician based in Medical Lake, Washington. Maria Lydia Montenegro is licensed to practice in Washington (license number MD00021239) and her current practice location is 2320 Salnave Rd, Lakeland Village, Medical Lake, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 299-1836.

NPI number for Maria Lydia Montenegro is 1619005014 and her current mailing address is 2320 Salnave Rd, Lakeland Village, Medical Lake, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619005014.

Contact Information

	Maria Lydia Montenegro, MD
	2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022
	(509) 299-1836
	(509) 299-1906

Physician's Profile

Full Name	Maria Lydia Montenegro
Gender	Female
Speciality	General Practice
Location	2320 Salnave Rd, Medical Lake, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1619005014
Provider Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Maria Lydia Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619005014	NPI	-	NPPES
1056597	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	MD00021239 (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. Maria Lydia Montenegro 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
Maria Lydia Montenegro, MD 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 Ph: (509) 299-1836	Maria Lydia Montenegro, MD 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 Ph: (509) 299-1836

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Maria Lydia Montenegro, MD - General Practice in Medical Lake, WA