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MONTANA C PUCKETT PA-C
NPI 1487300265
Physician Assistant - Surgical in Sarasota, FL

Active since March 01, 2022PECOS EnrolledAccepts Medicare Assignment
1950 ARLINGTON ST STE 111, SARASOTA, FL 34239(941) 921-2600(941) 925-8672 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Mar 1, 2022 (2 updates tracked since 2022).

About Montana C Puckett Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTANA C PUCKETT PA-C (NPI 1487300265) is an individual surgical provider in Sarasota, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487300265
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMONTANA C PUCKETTCredential: PA-C
Location Address1950 ARLINGTON ST STE 111Sarasota, FL 34239-3508
Mailing Address19701 Gulf Blvd Unit 401Indian Shores, FL 33785-2386 · (727) 743-2276
Phone(941) 921-2600
Fax(941) 925-8672
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 1, 2022
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1487300265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1950 ARLINGTON ST STE 111, Sarasota, FL 34239
Open in Google Maps ↗

Other Identifiers 1

OtherPA9115470FL · Florida License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Montana C Puckett Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183002629
PECOS Enrollment IDI20220613000081
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANASTASSIA TCHORBADJIYSKA PA-C
Physician Assistant (Surgical)
1950 ARLINGTON ST STE 111
SARASOTA, FL 34239
Sarasota County (941) 921-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Puckett's NPI number?

The NPI number for Montana Puckett is 1487300265. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Montana Puckett located?

Montana Puckett practices at 1950 Arlington St Ste 111, Sarasota, FL 34239. The listed phone number is (941) 921-2600.

What is Montana Puckett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Montana Puckett enrolled in Medicare?

Yes. Montana Puckett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Montana Puckett accept?

Health plans from UnitedHealthcare list Montana Puckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Montana Puckett affiliated with any hospitals?

According to CMS data, Montana Puckett is affiliated with Manatee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Montana Puckett was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.