Tywanna Jaye Montgomery, - Medicare Nurse Practitioner in Largo, FL

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Tywanna Jaye Montgomery, is a medicare enrolled "Family Medicine - Adult Medicine" physician in Largo, Florida. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Value Based Long Term Care F Pc, Legacy Health Medical Group, Llc and her current practice location is 801 W Bay Dr Ste 605, Largo, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 489-3305.

Tywanna Jaye Montgomery is licensed to practice in Florida (license number 11022335) 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 1164147187.

Contact Information

Tywanna Jaye Montgomery,
801 W Bay Dr Ste 605,
Largo, FL 33770-3268
(727) 489-3305
Not Available

Map and Direction




Physician's Profile

Full NameTywanna Jaye Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location801 W Bay Dr Ste 605, Largo, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tywanna Jaye Montgomery graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1164147187
  • Provider Enumeration Date: 10/12/2022
  • Last Update Date: 10/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890163471
  • Enrollment ID: I20221202000474

Medical Identifiers

Medical identifiers for Tywanna Jaye Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164147187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 11022335 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hygeia Home Health LlcLargo, FLHome health agency
Keystone Home Health IncClearwater, FLHome health agency
Pinellas 1 Home Health Care CorpClearwater, FLHome health agency
Encompass Health Home HealthClearwater, FLHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Value Based Long Term Care F Pc276992273117
Legacy Health Medical Group, Llc519396217316

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. Tywanna Jaye Montgomery allows following entities to bill medicare on her behalf.
Entity NameLegacy Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881942779
PECOS PAC ID: 5193962173
Enrollment ID: O20130510000372
Entity NameCareconnectmd Florida P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912632886
PECOS PAC ID: 7911389838
Enrollment ID: O20220809000521
Entity NameValue Based Long Term Care F Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831921360
PECOS PAC ID: 2769922731
Enrollment ID: O20250527003461

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. Tywanna Jaye 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 AddressPractice Location Address
Tywanna Jaye Montgomery,
9435 Temple Ave,
Seminole, FL 33772-3033

Ph: (813) 810-1103		Tywanna Jaye Montgomery,
801 W Bay Dr Ste 605,
Largo, FL 33770-3268

Ph: (727) 489-3305

Reviews and Comments


Family Medicine Doctors in Largo, FL

Dr. Brian A Field, M.D.
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Practice Location: 3600 Oak Manor Ln Apt 46, Largo, FL 33774
Phone: 727-489-3305    
Dr. Katherine Matlock, D.O.
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Practice Location: 12899 Walsingham Rd, Largo, FL 33774
Phone: 727-596-9490    Fax: 813-635-7943
Nicholas Z Okeson, DO
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Practice Location: 13787 Belcher Rd S, Suite 100, Largo, FL 33771
Phone: 727-535-9899    Fax: 727-535-2818
Dr. Monte T Hill, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 13670 Walsingham Rd, Largo, FL 33774
Phone: 727-593-9848    Fax: 727-596-4532
Dr. Enrique Jose Urrutia Jr., D.O.
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Practice Location: 12020 Seminole Blvd, Largo, FL 33778
Phone: 727-588-9572    Fax: 727-584-3832
James R Jones, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12420 130th Ave, Largo, FL 33774
Phone: 727-824-8181    Fax: 727-587-7739
Sumayya Qadri, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 201 14th St Sw, Largo, FL 33770
Phone: 727-588-5704    Fax: 727-585-7205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.