Byron K Montgomery, ANP is a medicare enrolled "Nurse Practitioner" in Portland, Arkansas. His current practice location is
233 N Main St, Portland, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 538-5414.
Byron K Montgomery is licensed to practice in Arkansas (license number ATP-000346) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376841247.
Provider's Profile
| Full Name | Byron K Montgomery |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 233 N Main St, Portland, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376841247
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133304868
- Enrollment ID: I20110425000013
Medical Identifiers
Medical identifiers for Byron K Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376841247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | ATP-000346 (Arkansas) | 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. Byron K Montgomery allows following entities to bill medicare on his behalf.
| Entity Name | Mainline Health Systems, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922727726
PECOS PAC ID: 5193785590
Enrollment ID: O20041011000567 |
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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. Byron K Montgomery 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 |
|---|
Byron K Montgomery, ANP
300 S School St,
Dermott, AR 71638-2127
Ph: (870) 538-5414 | Byron K Montgomery, ANP
233 N Main St,
Portland, AR 71663-9230
Ph: (870) 538-5414 |
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