ANGELICA MONTES MD
NPI 1336679265
Family Medicine in Wilmington, DE

NPI Status: Active since June 13, 2017

Contact Information

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 652-2455
Fax: (302) 322-6251

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  • Individual
  • Female
  • Years of Experience 9
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANGELICA MONTES

This page provides the complete NPI Profile along with additional information for Angelica Montes, a primary care provider established in Wilmington, Delaware with a medical specialization in Family Medicine and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1336679265 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X with license number C1-0013800 (DE). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1336679265
Provider Name
ANGELICA MONTES MD
Gender
Female
Entity Type
Individual
Location Address
1802 W 4TH ST WILMINGTON, DE 19805
Location Phone
(302) 652-2455
Location Fax
(302) 322-6251
Mailing Address
PO BOX 151 NEW CASTLE, DE 19720
Mailing Phone
(302) 652-2455
Mailing Fax
(302) 322-6251
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
06-13-2017
Last Update Date
02-23-2021
Code Navigator

A primary care provider (PCP) like Angelica Montes sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 555 N Duke St
    Lancaster, PA 17602
    (717) 544-4940

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
C1-0013800
License State
DE
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access PPO Bronze 3800 - PPO
  • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access PPO Bronze 8900 - PPO
  • my Blue Access PPO Gold 0 - PPO
  • my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Gold 1700 HSA - PPO
  • my Blue Access PPO Premier Gold 0 - PPO
  • my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Premier Platinum 0 - PPO
  • my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Silver 7000 - PPO
  • my Blue Access PPO Standard Bronze 7500 - PPO
  • my Blue Access PPO Standard Gold 1500 - PPO
  • my Blue Access PPO Standard Platinum 0 - PPO
  • my Blue Access PPO Standard Silver 5000 - PPO
  • my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Angelica Montes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Angelica Montes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113297243

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200922003315

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 for a new patient copayment and $25.17 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.37
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $22.09
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.68
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $25.17
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336679265
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612718212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 7 + 1 + 8 + 2 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1336679265 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. MARYANN K. BAILEY DDS

Dentist

(General Practice)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

DR. MICHELLE ROBINSON DDS

Dentist

(Dental Public Health)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

DR. VANESSA NICOLLETTE DURAND D.O.

Pediatrics

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

MRS. EMMA DONNELLY RD

Dietitian, Registered

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(215) 206-2194

LIZMARY ORTEGA

Nurse's Aide

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

LAURIE BRUNK CPNP

Nurse Practitioner

(Pediatrics)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

ELIZABETH MARIE DALY M.D.

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

ANDRES MAURICIO HURTADO DDS

Dentist

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

LINDSAY ASHKENASE

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

LYDIA E DE LEON

Counselor

(Mental Health)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

MARIA C AGUILAR

Social Worker

(Clinical)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

MRS. GLENNA BRESLIN CORDO FNP-BC

Nurse Practitioner

(Family)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

EVELYN CRUZ LPCMH, CADC, CCDPD

Counselor

(Mental Health)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

MARIELLA ROBERTS LPCMH

Counselor

(Mental Health)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

JEANETTE SUKHU RD

Dietitian, Registered

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 224-6800

DR. CAMILLE A. GOODSPEED DO

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

DR. SUSANNE M HANDLING MD

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5576

THOMAS E STEPHENS MD

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

KATHY ZINAS KIRIFIDES D.D.S.

Dentist

(General Practice)

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 652-2455

MEGAN WERNER MD

Family Medicine

1802 W 4TH ST
WILMINGTON, DE
ZIP 19805

(302) 655-5822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336679265, enumerated as an "individual" on June 13, 2017.

The provider is located at 1802 W 4TH ST WILMINGTON, DE 19805 and the phone number is (302) 652-2455.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to verify.