Chandra L Montgomery, NP - Medicare Nurse Practitioner in Waco, TX

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Chandra L Montgomery, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Waco, Texas. Her current practice location is 1174 Idlewood Dr, Waco, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 214-2558.

Chandra L Montgomery is licensed to practice in Texas (license number 636019) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124186507.

Contact Information

Chandra L Montgomery, NP
1174 Idlewood Dr,
Waco, TX 76705-5238
(254) 214-2558
(254) 582-5518

Map and Direction




Provider's Profile

Full NameChandra L Montgomery
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1174 Idlewood Dr, Waco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124186507
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 06/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668578949
  • Enrollment ID: I20070502000606

Medical Identifiers

Medical identifiers for Chandra L Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124186507NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 636019 (Texas)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. Chandra L Montgomery allows following entities to bill medicare on her behalf.
Entity NameProvidence Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307
Entity NameCertified Nurse Practitioners, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194901413
PECOS PAC ID: 3173694031
Enrollment ID: O20080619000649

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. Chandra L 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
Chandra L Montgomery, NP
1174 Idlewood Dr,
Waco, TX 76705-5238

Ph: (254) 214-2558		Chandra L Montgomery, NP
1174 Idlewood Dr,
Waco, TX 76705-5238

Ph: (254) 214-2558

Reviews and Comments


Nurse Practitioner Nurses in Waco, TX

Leslie P Smith, FNP
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Practice Location: 1800 Gurley Lane, Waco, TX 76706
Phone: 254-313-6000    Fax: 254-313-4531
Tyler Adam Brown,
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Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 877-724-5437    
Eidel Nerli Adams,
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Karen Church, APRN, FNP-C
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Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710
Phone: 254-755-4582    
Emily Heeringa, FNP
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Phone: 254-202-2000    
Jared Blake Griffin, NNP-BC
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Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2900    
Dallas Leigh Upchurch,
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Medicare: Not Enrolled in Medicare
Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710
Phone: 254-300-4072    Fax: 254-362-2064

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.