Roger C Montgomery, MD in Fayetteville, AR

Roger C Montgomery, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Fayetteville, Arkansas. His current practice location is 325 E. Longview St., Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 713-7385.

Roger C Montgomery is licensed to practice in Arkansas (license number N-8043) 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 1902834898.

Contact Information

	Roger C Montgomery, MD
	325 E. Longview St., Fayetteville, AR 72703
	(479) 713-7385
	(479) 444-7120

Map and Direction

Physician's Profile

Full Name	Roger C Montgomery
Gender	Male
Speciality	Family Medicine - Hospice And Palliative Medicine
Location	325 E. Longview St., Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902834898
Provider Enumeration Date: 06/29/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3476522798
Enrollment ID: I20120813000442

Medical Identifiers

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

Identifier	Type	State	Issuer
1902834898	NPI	-	NPPES
117900001	Medicaid	AR
54200	Other	AR	AR BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	17227 (Oklahoma)	Secondary
207R00000X	Internal Medicine	N-8043 (Arkansas)	Secondary
2080H0002X	Pediatrics - Hospice And Palliative Medicine	N-8043 (Arkansas)	Secondary
208M00000X	Hospitalist	N-8043 (Arkansas)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	N-8043 (Arkansas)	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. Roger C Montgomery allows following entities to bill medicare on his behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Roger C 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
Roger C Montgomery, MD Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-7775	Roger C Montgomery, MD 325 E. Longview St., Fayetteville, AR 72703 Ph: (479) 713-7385

Reviews and Comments

Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 688 E Millsap Rd Ste 101, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933
Stanley Bradley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260

Roger C Montgomery, MD - Medicare Family Medicine in Fayetteville, AR