Montgomery Elmer, MD in Kimberly, WI - Medicare Family Medicine

Montgomery Elmer, MD is a medicare enrolled "Family Medicine" physician in Kimberly, Wisconsin. His current practice location is 520 W 3rd St, Kimberly, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 788-7680.

Montgomery Elmer is licensed to practice in Wisconsin (license number 28511) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063439420.

Contact Information

	Montgomery Elmer, MD
	520 W 3rd St, Kimberly, WI 54136-1300
	(920) 788-7680
	(920) 788-7688

Map and Direction

Physician's Profile

Full Name	Montgomery Elmer
Gender	Male
Speciality	Family Medicine
Location	520 W 3rd St, Kimberly, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063439420
Provider Enumeration Date: 07/16/2006
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3173436151
Enrollment ID: I20051219000830

Medical Identifiers

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

Identifier	Type	State	Issuer
1063439420	NPI	-	NPPES
31489400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28511 (Wisconsin)	Primary

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. Montgomery Elmer allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Montgomery Elmer 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
Montgomery Elmer, MD 520 W 3rd St, Kimberly, WI 54136-1300 Ph: (920) 788-7680	Montgomery Elmer, MD 520 W 3rd St, Kimberly, WI 54136-1300 Ph: (920) 788-7680

Reviews and Comments

Family Medicine Doctors in Kimberly, WI

Sarah K Marcoe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680
Ms. Katherine Nonweiler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680
Dr. Rebecca Kristeen Doro, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688
Carolyn Blanc, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688
Joyce Bauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688

Montgomery Elmer, MD - Medicare Family Medicine in Kimberly, WI