Alexandra Chanel Montgomery, MD - Medicare Dermatology in Charlotte, NC

Alexandra Chanel Montgomery, MD is a medicare enrolled "Dermatology" physician in Charlotte, North Carolina. Her current practice location is 130 Providence Rd Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 333-9112.

Alexandra Chanel Montgomery is licensed to practice in North Carolina (license number 2026-02562) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417697244.

Contact Information

Alexandra Chanel Montgomery, MD
130 Providence Rd Ste 100,
Charlotte, NC 28207-1247
(704) 333-9112
(704) 333-9757

Map and Direction




Physician's Profile

Full NameAlexandra Chanel Montgomery
GenderFemale
SpecialityDermatology
Location130 Providence Rd Ste 100, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417697244
  • Provider Enumeration Date: 03/30/2022
  • Last Update Date: 07/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3971990383
  • Enrollment ID: I20220503000666

Medical Identifiers

Medical identifiers for Alexandra Chanel Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417697244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2026-02562 (North Carolina)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. Alexandra Chanel 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 AddressPractice Location Address
Alexandra Chanel Montgomery, MD
130 Providence Rd Ste 100,
Charlotte, NC 28207-1247

Ph: (704) 333-9112
Alexandra Chanel Montgomery, MD
130 Providence Rd Ste 100,
Charlotte, NC 28207-1247

Ph: (704) 333-9112

Reviews and Comments


Dermatology Doctors in Charlotte, NC

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Jonathan M Olson, MD
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Practice Location: 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277
Phone: 704-919-1105    Fax: 704-910-3163

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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