Benjamin Titus Montgomery, MD is a medicare enrolled "Urology" physician in Lovington, New Mexico. His current practice location is
1600 N Main Ave, Lovington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 396-6611.
Benjamin Titus Montgomery is licensed to practice in New Mexico (license number MD2021-0606) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598921546.
Physician's Profile
| Full Name | Benjamin Titus Montgomery |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1600 N Main Ave, Lovington, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598921546
- Provider Enumeration Date: 07/30/2008
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284701533
- Enrollment ID: I20221107001936
Medical Identifiers
Medical identifiers for Benjamin Titus Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598921546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 4301060876 (Michigan) | Secondary |
| 208800000X | Urology | MD2021-0606 (New Mexico) | Primary |
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. Benjamin Titus Montgomery allows following entities to bill medicare on his behalf.
| Entity Name | Mclaren Central Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
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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. Benjamin Titus 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 |
Benjamin Titus Montgomery, MD 1600 N Main Ave, Lovington, NM 88260-2813 Ph: (907) 563-3103 | Benjamin Titus Montgomery, MD 1600 N Main Ave, Lovington, NM 88260-2813 Ph: (575) 396-6611 |
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