Mr Mark Damon Montelongo, NP - Medicare Nurse Practitioner in Waco, TX

Mr Mark Damon Montelongo, NP is a medicare enrolled "Nurse Practitioner - Family" in Waco, Texas. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Legacy Urgent Care Pa and his current practice location is 6901 Medical Parkway, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 751-4756.

Mr Mark Damon Montelongo is licensed to practice in Texas (license number 734468) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063726750.

Contact Information

Mr Mark Damon Montelongo, NP
6901 Medical Parkway,
Waco, TX 76712-7910
(254) 751-4756
Not Available



Provider's Profile

Full NameMr Mark Damon Montelongo
GenderMale
SpecialityNurse Practitioner
Experience15 Years
Location6901 Medical Parkway, Waco, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mark Damon Montelongo graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1063726750
  • Provider Enumeration Date: 08/05/2010
  • Last Update Date: 08/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0042485898
  • Enrollment ID: I20111207000189

Medical Identifiers

Medical identifiers for Mr Mark Damon Montelongo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063726750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 734468 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Urgent Care Pa3072679828119

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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. Mr Mark Damon Montelongo allows following entities to bill medicare on his behalf.
Entity NameLegacy Urgent Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568622272
PECOS PAC ID: 3072679828
Enrollment ID: O20090304000140

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Entity NameDcs Medical Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285082768
PECOS PAC ID: 0042507600
Enrollment ID: O20160926000390

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Entity NamePremier Physicians - Ii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801204656
PECOS PAC ID: 9234416744
Enrollment ID: O20170511000584

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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. Mr Mark Damon Montelongo 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
Mr Mark Damon Montelongo, NP
6901 Medical Pkwy,
Waco, TX 76712-7910

Ph: (254) 751-4756
Mr Mark Damon Montelongo, NP
6901 Medical Parkway,
Waco, TX 76712-7910

Ph: (254) 751-4756

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Nurse Practitioner Nurses in Waco, TX

Leslie P Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Gurley Lane, Waco, TX 76706
Phone: 254-313-6000    Fax: 254-313-4531
Eidel Nerli Adams,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6901 Medical Pkwy, Waco, TX 76712
Phone: 254-751-4000    
Karen Church, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710
Phone: 254-755-4582    
Emily Heeringa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Jared Blake Griffin, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2900    
Dallas Leigh Upchurch,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710
Phone: 254-300-4072    Fax: 254-362-2064
Andrea Denise Nemec, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-5300    

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