Alisa Montgomery, is a
Counselor - Mental Health based in South Ozone, New York. Alisa Montgomery is licensed to practice in New York (license number ) and her current practice location is
108-19 Rockaway Blvd., South Ozone, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 845-2620.
NPI number for Alisa Montgomery is 1558973636 and her current mailing address is 108-19 Rockaway Blvd., Ozone Park, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558973636.
Healthcare Provider's Profile
| Full Name | Alisa Montgomery |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 108-19 Rockaway Blvd., South Ozone, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558973636
- Provider Enumeration Date: 08/19/2020
- Last Update Date: 08/19/2020
Medical Identifiers
Medical identifiers for Alisa Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558973636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (New York) | Primary |
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. Alisa Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alisa Montgomery, 108-19 Rockaway Blvd., Ozone Park, NY 11420 Ph: (718) 845-2620 | Alisa Montgomery, 108-19 Rockaway Blvd., South Ozone, NY 11420 Ph: (718) 845-2620 |
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