Ms Mimose Montgomery, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oakland Park, Florida. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Care Resource Community Health Centers, Inc and her current practice location is
3160 Powerline Rd, Oakland Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 576-1234.
Ms Mimose Montgomery is licensed to practice in Florida (license number SW21589) 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 1922513860.
Healthcare Provider's Profile
| Full Name | Ms Mimose Montgomery |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 3160 Powerline Rd, Oakland Park, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Mimose Montgomery graduated from medical school in 2017
NPI Data:
- NPI Number: 1922513860
- Provider Enumeration Date: 12/13/2017
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911353057
- Enrollment ID: I20231026001761
Medical Identifiers
Medical identifiers for Ms Mimose Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922513860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | SW21589 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW21589 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Care Resource Community Health Centers, Inc | 1658350749 | 18 |
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. Ms Mimose Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | Care Resource Community Health Centers, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053311373 PECOS PAC ID: 1658350749 Enrollment ID: O20040714000096 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
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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. Ms Mimose 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 |
Ms Mimose Montgomery, LCSW 8910 Miramar Pkwy Ste 305b, Miramar, FL 33025-4100 Ph: (305) 713-3261 | Ms Mimose Montgomery, LCSW 3160 Powerline Rd, Oakland Park, FL 33309-5911 Ph: (305) 576-1234 |
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