One provider matched this Medicaid ID.
Montana Medicaid ID 0040919 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 0040919MT
Other
- 000008287MT· Issued by MEDICARE PART B GRP ID#
- 080177906MT· Issued by RAILROAD MEDICARE PIN#
- 000097881MT· Issued by BLUE CORSS/SHIELD PIN
- 7946MT· Issued by MONTANA STATE LICENSE
- CI2709MT· Issued by RAILROAD MEDICARE GRP ID#
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20060314000631Family PracticeMT
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.