Dionne Lashawn Montgomery, CNM is a medicare enrolled "Midwife" in Fairbanks, Alaska. Her current practice location is
1650 Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 459-3540.
Dionne Lashawn Montgomery is licensed to practice in Alaska (license number 189197) 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 1821677600.
Provider's Profile
| Full Name | Dionne Lashawn Montgomery |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 1650 Cowles St, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821677600
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587037296
- Enrollment ID: I20230228001662
Medical Identifiers
Medical identifiers for Dionne Lashawn Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821677600 | NPI | - | NPPES |
| 1821677600 | Medicaid | UT | |
| 1821677600 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 172801 (Alaska) | Secondary |
| 176B00000X | Midwife | 11868743-4402 (Utah) | Secondary |
| 176B00000X | Midwife | 189197 (Alaska) | 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. Dionne Lashawn Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
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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. Dionne Lashawn 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 |
|---|
Dionne Lashawn Montgomery, CNM
402 Iditarod Ave,
Fairbanks, AK 99701-3732
Ph: (702) 755-5019 | Dionne Lashawn Montgomery, CNM
1650 Cowles St,
Fairbanks, AK 99701-5907
Ph: (907) 459-3540 |
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