| Tricia Dawn Montgomery, RD, CDE | |
|
13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | |
| (480) 301-8000 | |
| Not Available |
| Full Name | Tricia Dawn Montgomery |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 24 Years |
| Location | 13400 E Shea Blvd, Scottsdale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144203712 | NPI | - | NPPES |
| 933946 | Medicaid | AZ | |
| P00624820 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 925937 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Arizona | 7012829930 | 1503 |
| Provider Name | Mayo Clinic Arizona |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Provider Name | Einfectionmd Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417437526 PECOS PAC ID: 6406191543 Enrollment ID: O20181218003680 |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Dawn Montgomery, RD, CDE Po Box 17808, Tucson, AZ 85731-7808 Ph: (623) 256-8380 | Tricia Dawn Montgomery, RD, CDE 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 Ph: (480) 301-8000 |
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