Gretchen Suzanne Montgomery, MD in Jackson, MS

Gretchen Suzanne Montgomery, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Relias Emergency Medicine Specialists Of St Dominic Llc, Team Physicians Of Northern California Medical Group Inc and her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-6175.

Gretchen Suzanne Montgomery is licensed to practice in Mississippi (license number 18545) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932145067.

Contact Information

	Gretchen Suzanne Montgomery, MD
	969 Lakeland Dr, Jackson, MS 39216-4606
	(601) 200-6175
	(601) 200-2020

Map and Direction

Physician's Profile

Full Name	Gretchen Suzanne Montgomery
Gender	Female
Speciality	Emergency Medicine
Experience	22 Years
Location	969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gretchen Suzanne Montgomery attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2002

NPI Data:

NPI Number: 1932145067
Provider Enumeration Date: 06/20/2006
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2961468947
Enrollment ID: I20041202000284

Medical Identifiers

Medical identifiers for Gretchen Suzanne Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932145067	NPI	-	NPPES
05957798	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	C175540 (California)	Secondary
207P00000X	Emergency Medicine	18545 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital
San Ramon Regional Medical Center	San ramon, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Relias Emergency Medicine Specialists Of St Dominic Llc	2466840152	17
Team Physicians Of Northern California Medical Group Inc	7113215146	95

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. Gretchen Suzanne Montgomery allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

Entity Name	Relias Emergency Medicine Specialists Of St Dominic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235808122 PECOS PAC ID: 2466840152 Enrollment ID: O20211029000889

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. Gretchen Suzanne 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
Gretchen Suzanne Montgomery, MD 516 Twin Cedars Dr, Madison, MS 39110-7288 Ph: (601) 278-3269	Gretchen Suzanne Montgomery, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-6175

Reviews and Comments

Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005
Dr. Melanie Fox, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mohsin Saber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201 Phone: 601-984-5582 Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 Fax: 601-364-2600
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000

Gretchen Suzanne Montgomery, MD - Medicare Emergency Medicine in Jackson, MS