Mr James R Montgomery Iv, RD is a medicare enrolled "Dietitian, Registered" provider in Asbury Park, New Jersey. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. His current practice location is
1201 Springwood Ave, Asbury Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(267) 229-9535.
Mr James R Montgomery Iv is licensed to practice in Pennsylvania (license number 1105168) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821581869.
Healthcare Provider's Profile
Full Name | Mr James R Montgomery Iv |
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Gender | Male |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 11 Years |
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Location | 1201 Springwood Ave, Asbury Park, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr James R Montgomery Iv graduated from medical school in 2013
NPI Data:
- NPI Number: 1821581869
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143550509
- Enrollment ID: I20190927000026
Medical Identifiers
Medical identifiers for Mr James R Montgomery Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821581869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1105168 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr James R Montgomery Iv allows following entities to bill medicare on his behalf.
Provider Name | Shore Nutrition Associates |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1457825622 PECOS PAC ID: 9234469693 Enrollment ID: O20190927000020 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James R Montgomery Iv is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr James R Montgomery Iv, RD 1201 Springwood Ave Ste 104, Asbury Park, NJ 07712-6796 Ph: (732) 539-3584 | Mr James R Montgomery Iv, RD 1201 Springwood Ave, Asbury Park, NJ 07712-6752 Ph: (267) 229-9535 |
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