| Dr David M Montgomery, MD | |
|
30575 Woodward Ave, Royal Oak, MI 48073-0980 | |
| (248) 280-8550 | |
| (248) 280-8567 |
| Full Name | Dr David M Montgomery |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 30575 Woodward Ave, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013911510 | NPI | - | NPPES |
| 4459527 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301047332 (Michigan) | Primary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 4301047332 (Michigan) | Secondary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David M Montgomery, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 | Dr David M Montgomery, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 |
Justin Taylor Deslaurier, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Dr. Mark Edward Jacobson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave Ste 100, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8571 | |
Robert Scott Dean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Jacob Kasper, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kaleb Howard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kimberly Les, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Ste. 402, Royal Oak, MI 48073 Phone: 248-551-9910 |