Donita Sue Demontiney, PA-C - Medicare Physician Assistant in Acoma, NM

Donita Sue Demontiney, PA-C is a medicare enrolled "Physician Assistant" in Acoma, New Mexico. Her current practice location is 80 B Veterans Blvd, I-40, Exit 102, Acoma, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 552-5300.

Donita Sue Demontiney is licensed to practice in South Dakota (license number 0530) 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 1811179211.

Contact Information

Donita Sue Demontiney, PA-C
80 B Veterans Blvd, I-40, Exit 102,
Acoma, NM 87034
(505) 552-5300
(505) 552-5828



Provider's Profile

Full NameDonita Sue Demontiney
GenderFemale
SpecialityPhysician Assistant
Location80 B Veterans Blvd, Acoma, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811179211
  • Provider Enumeration Date: 11/28/2007
  • Last Update Date: 02/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476639097
  • Enrollment ID: I20080324000531

Medical Identifiers

Medical identifiers for Donita Sue Demontiney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811179211NPI-NPPES
H3451MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0530 (South Dakota)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. Donita Sue Demontiney 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
Donita Sue Demontiney, PA-C
Po Box 130, Attn Acl Provider Enrollment,
San Fidel, NM 87049-0130

Ph: (505) 552-5300
Donita Sue Demontiney, PA-C
80 B Veterans Blvd, I-40, Exit 102,
Acoma, NM 87034

Ph: (505) 552-5300

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Physician Assistant Nurses in Acoma, NM

Lisa R. Humphries, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5805
Michael P Bonnet, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Mr. David L Miller, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5490
Ms. Noreen Tresa Jack-mooney, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Mr. Joseph W Morris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5828
Brenda Y Pacheco, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 B Veterans Blvd, Acoma, NM 87034
Phone: 505-552-5300    Fax: 505-552-5490

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