Montgomery Davis, - Medicare Certified Registered Nurse Anesthetist (crna) in Maumelle, AR

Montgomery Davis, is a medicare enrolled "Nurse Practitioner" in Maumelle, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is 53 Meadow Ridge Loop, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 718-4194.

Montgomery Davis is licensed to practice in Arkansas (license number R099213) 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 1265029284.

Contact Information

Montgomery Davis,
53 Meadow Ridge Loop,
Maumelle, AR 72113-6879
(870) 718-4194
Not Available

Map and Direction




Provider's Profile

Full NameMontgomery Davis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location53 Meadow Ridge Loop, Maumelle, Arkansas
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:
  • Montgomery Davis graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1265029284
  • Provider Enumeration Date: 12/23/2020
  • Last Update Date: 03/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608285291
  • Enrollment ID: I20210512000548

Medical Identifiers

Medical identifiers for Montgomery Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265029284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R099213 (Arkansas)Primary
367500000XNurse Anesthetist, Certified Registered 1031057 (Arkansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corpus Christi Medical Center,theCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Iii Pa0042630501335

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. Montgomery Davis allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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. Montgomery Davis 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
Montgomery Davis,
53 Meadow Ridge Loop,
Maumelle, AR 72113-6879

Ph: (870) 718-4194
Montgomery Davis,
53 Meadow Ridge Loop,
Maumelle, AR 72113-6879

Ph: (870) 718-4194

Reviews and Comments


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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.