| James Samuel Montana, | |
|
300 W Conan St, Ely, MN 55731-1145 | |
| (218) 365-7900 | |
| (218) 365-7975 |
| Full Name | James Samuel Montana |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 300 W Conan St, Ely, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922032200 | NPI | - | NPPES |
| 311726000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38029 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Community Health Inc | Inver grove heights, MN | Home health agency |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Ely Bloomenson Community Hospital | Ely, MN | Hospital |
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Boundary Waters Care Center | Ely, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 1121 |
| Essentia Health Virginia Llc | 7810149002 | 71 |
| St Josephs Medical Center | 8224948443 | 242 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| James Samuel Montana, 300 W Conan St, Ely, MN 55731-1145 Ph: (218) 365-7900 | James Samuel Montana, 300 W Conan St, Ely, MN 55731-1145 Ph: (218) 365-7900 |