| Megan Marie Montague, | |
|
1137 Independence Dr, West Plains, MO 65775-4221 | |
| (417) 255-8464 | |
| Not Available |
| Full Name | Megan Marie Montague |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1137 Independence Dr, West Plains, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003278532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2019026178 (Missouri) | Primary |
| Entity Name | Rural Alliance For Better Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144280132 PECOS PAC ID: 6103734058 Enrollment ID: O20040316001026 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Marie Montague, 571 S Floyd St, Suite 412, Louisville, KY 40202-3818 Ph: () - | Megan Marie Montague, 1137 Independence Dr, West Plains, MO 65775-4221 Ph: (417) 255-8464 |
Joseph William Stafford Jr., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-7076 Fax: 417-257-1417 | |
Dr. Garry Erskine Finke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-293-8464 | |
Dr. Carolyn Ann Ellsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 312 N Kentucky St, West Plains, MO 65775 Phone: 417-257-7076 Fax: 417-257-1417 |