| Dr John E Montgomery, MD | |
|
1159 W Jefferson St Ste 304, Franklin, IN 46131-2795 | |
| (317) 736-5515 | |
| (317) 738-0198 |
| Full Name | Dr John E Montgomery |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1159 W Jefferson St Ste 304, Franklin, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033142898 | NPI | - | NPPES |
| 100386210 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01041404 (Indiana) | Primary |
| Entity Name | Johnson Memorial Health Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053972331 PECOS PAC ID: 1850629361 Enrollment ID: O20190821004529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John E Montgomery, MD 13070 River Grove Dr, Columbus, IN 47203-4517 Ph: (812) 343-1723 | Dr John E Montgomery, MD 1159 W Jefferson St Ste 304, Franklin, IN 46131-2795 Ph: (317) 736-5515 |
Dr. Craig A Moorman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 W Jefferson St Ste T, Franklin, IN 46131 Phone: 317-736-5515 Fax: 317-738-0198 | |
Pratikshya Karki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1159 W Jefferson St Ste 304, Franklin, IN 46131 Phone: 317-736-5515 | |
Dr. Debra J. Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 W Jefferson St Ste T, Franklin, IN 46131 Phone: 317-736-5515 Fax: 317-738-0198 |