Joseph Paul Montgomery, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Saint Clair Shores, Michigan. He went to Wayne State University School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Downriver Mental Health Clinic Pc and 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 | Nurse Practitioner |
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| Experience | 6 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 Wayne State University School Of Medicine in 2020
NPI Data:
- NPI Number: 1104155126
- Provider Enumeration Date: 12/22/2009
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507278488
- Enrollment ID: I20201217001816
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Downriver Mental Health Clinic Pc | 7911995139 | 238 |
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. Joseph Paul Montgomery allows following entities to bill medicare on his behalf.
| Entity Name | Downriver Mental Health Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
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| Entity Name | Baddigam Family Psychiatric Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093899569 PECOS PAC ID: 7719911742 Enrollment ID: O20050920000652 |
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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. 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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