Dr Canaan Matthew Montgomery, OD is a medicare enrolled "Optometrist" provider in Vienna, Illinois. He went to Southern College Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. He is a member of the group practice West End Eye Care Ltd and his current practice location is
1005 W Vine St, Vienna, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 658-2195.
Dr Canaan Matthew Montgomery is licensed to practice in Kentucky (license number 1958DT) 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 1225442288.
Healthcare Provider's Profile
Full Name | Dr Canaan Matthew Montgomery |
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Gender | Male |
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Speciality | Optometry |
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Experience | 10 Years |
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Location | 1005 W Vine St, Vienna, Illinois |
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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:
- Dr Canaan Matthew Montgomery attended and graduated from Southern College Of Optometry in 2014
NPI Data:
- NPI Number: 1225442288
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 08/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991922445
- Enrollment ID: I20141007002716
Medical Identifiers
Medical identifiers for Dr Canaan Matthew Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225442288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046010816 (Illinois) | Secondary |
152W00000X | Optometrist | 1958DT (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
West End Eye Care Ltd | 2961622386 | 2 |
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. Dr Canaan Matthew Montgomery allows following entities to bill medicare on his behalf.
Provider Name | West End Eye Care Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1578972113 PECOS PAC ID: 2961622386 Enrollment ID: O20141007002737 |
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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. Dr Canaan Matthew 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 |
Dr Canaan Matthew Montgomery, OD 1005 W Vine St, Vienna, IL 62995-1586 Ph: () - | Dr Canaan Matthew Montgomery, OD 1005 W Vine St, Vienna, IL 62995-1586 Ph: (618) 658-2195 |
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