Ellington Montgomery, MS, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saratoga Springs, New York. Her current practice location is
211 Church St, Saratoga Springs, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 583-8484.
Ellington Montgomery is licensed to practice in New York (license number 702506) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952014557.
Provider's Profile
| Full Name | Ellington Montgomery |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 211 Church St, Saratoga Springs, New York |
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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: 1952014557
- Provider Enumeration Date: 12/29/2022
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759753882
- Enrollment ID: I20230217001580
Medical Identifiers
Medical identifiers for Ellington Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952014557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 702506 (New York) | 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. Ellington Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | Albany Medical College |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386 |
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| Entity Name | Albany Medical College |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497921688
PECOS PAC ID: 1759293111
Enrollment ID: O20190320001621 |
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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. Ellington 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 |
|---|
Ellington Montgomery, MS, CRNA
58 Phila St Apt 1,
Saratoga Springs, NY 12866-3258
Ph: (518) 222-3377 | Ellington Montgomery, MS, CRNA
211 Church St,
Saratoga Springs, NY 12866-1090
Ph: (518) 583-8484 |
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