Joseph Paul Montgomery, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Saint Clair Shores, Michigan. His current practice location is
24715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 777-9000.
Joseph Paul Montgomery is licensed to practice in Michigan (license number 4704318966) 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 1104155126.
Healthcare Provider's Profile
Full Name | Joseph Paul Montgomery |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 24715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan |
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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:
- Joseph Paul Montgomery attended and graduated from in
NPI Data:
- NPI Number: 1104155126
- Provider Enumeration Date: 12/22/2009
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Joseph Paul Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104155126 | NPI | - | NPPES |
75091042 | Other | MI | BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401011520 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704318966 (Michigan) | 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. Joseph Paul 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 |
Joseph Paul Montgomery, PMHNP-BC 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (586) 777-9000 | Joseph Paul Montgomery, PMHNP-BC 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (586) 777-9000 |
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