Latrena Montgomery, FNP-C - Medicare Nurse Practitioner in Madison, MS

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Latrena Montgomery, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Madison, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 105 Varese Pl, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 622-8182.

Latrena Montgomery is licensed to practice in Mississippi (license number R881572) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346621075.

Contact Information

Latrena Montgomery, FNP-C
105 Varese Pl,
Madison, MS 39110
(601) 622-8182
Not Available

Map and Direction




Provider's Profile

Full NameLatrena Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location105 Varese Pl, Madison, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latrena Montgomery graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1346621075
  • Provider Enumeration Date: 06/18/2015
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608172119
  • Enrollment ID: I20160309002384

Medical Identifiers

Medical identifiers for Latrena Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346621075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R881572 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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. Latrena Montgomery allows following entities to bill medicare on her behalf.
Entity NameG A Carmichael Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801952809
PECOS PAC ID: 2567371032
Enrollment ID: O20050816001055
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameCapital Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528405230
PECOS PAC ID: 0244471480
Enrollment ID: O20130730000783
Entity NameCapital Emergency Physicians Madison Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194176644
PECOS PAC ID: 6406140631
Enrollment ID: O20160810001113
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameYazoo Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806914
PECOS PAC ID: 0749511574
Enrollment ID: O20191009002380
Entity NameJackson Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184305856
PECOS PAC ID: 6103273131
Enrollment ID: O20231113001051

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. Latrena 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 AddressPractice Location Address
Latrena Montgomery, FNP-C
1668 W Peace St,
Canton, MS 39046-5332

Ph: (601) 622-8182		Latrena Montgomery, FNP-C
105 Varese Pl,
Madison, MS 39110

Ph: (601) 622-8182

Reviews and Comments


Nurse Practitioner Nurses in Madison, MS

Mallory Elizabeth Boggs, A-GNP-C
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Phone: 601-973-1688    Fax: 601-973-1690
Heather Hontzas,
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Dean E Whitley, NP
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Phone: 601-853-8814    Fax: 601-853-8816
Mrs. Rebecca L Cauthen, ACNP
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Practice Location: 189 Saddlebrook Cv, Madison, MS 39110
Phone: 601-818-0020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.