Marc C Mentel, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10584 Issued in MT

Practice address

1201 Wyoming St
Missoula, MT 59801-1727

Phone

(406) 532-9900

Fax

(406) 532-9901

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Michigan State University College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

406 Recovery IncGroup PAC ID 0042687717, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 406 Recovery Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bozeman, MT
  • NPI 1023745247

  MT

  Medicare reassignment Care Compare group NPD
• Partnership Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1437196243

  Family Medicine, MT

  Medicare reassignment NPD
• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  MT, Psychiatry

  Medicare reassignment NPD
• Partnership Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1871881904
  NPD
• Western Montana Mental Health Center

  • Substance Abuse Rehabilitation Facility
  • Missoula, MT
  • NPI 1548659113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1376574871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N WEAVER ST UNIT 440",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147018",
            "telephone_number": "406-219-7233",
            "fax_number": "888-798-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011727",
            "telephone_number": "406-532-9900",
            "fax_number": "406-532-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Mendenhall St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153566",
            "country_code": "US",
            "telephone_number": "406-219-7233",
            "fax_number": "888-798-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENTEL",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "10584",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079186",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graham Kyle Meng, D.D.S.
• Joseph Charles Meng, DDS, MS
• Melinda Harbin Meng, D.D.S.
• Vincent W. Meng, DDS
• Sarah Menhennett, PT, DPT
• Adrienne Victoria Merrick
• Christine A Merriman, M.A. CCC-SLP
• Rashelle Merritt, RDN, LN
• Hana Shewamoltot Meshesha
• Liana J Messer, LMT

• All providers in Missoula, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.