Robert J Alfiero, PA-C
Individual provider Active NPI Physician Assistant · Ronan, MT
NPI 1417029059 · NPPES record last updated Oct 28, 2011
Key facts
- NPI
- 1417029059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 243 (MT)
- Practice address
- 126 6TH Ave SW
Ronan, MT 59864-2600 - Phone
- (406) 528-5580
- Fax
- (406) 528-5589
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Community Hospital
Practice addresses (Care Compare)
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600
Hospital & facility affiliations
- St Luke Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823000349 | MT | Practitioner - Physician Assistant | 1254362965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Community Hospital | Current |
Accepting new patients | |
| St. Lukes Community Hospital | Current |
Accepting new patients | |
| St Lukes Community Hospital | Current |
Accepting new patients | |
| St. Lukes Community Hospital | Past | Accepting new patients | |
| Vibrant Sound Works, Inc | Past | Accepting new patients |
Locations
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
126 6th Ave SW
Ste B
Ronan, MT 59864
Phone (406) 676-4436
126 6th Ave SW
Ste A
Ronan, MT 59864
Phone (406) 676-3600
107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 243 | MT | Yes |
Addresses
Primary practice location
126 6TH Ave SW
Ronan, MT 59864-2600
Mailing address
126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 528-5580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417029059 | Medicaid | MT |
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.