Gary Dale Montgomery, PA-C - Medicare Physician Assistant in Everett, WA

Gary Dale Montgomery, PA-C is a medicare enrolled "Physician Assistant" in Everett, Washington. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence Health And Services- Washington and his current practice location is 12800 Bothell Everett Hwy, Ste A, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 316-5150.

Gary Dale Montgomery is licensed to practice in Washington (license number PA60577634) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104299601.

Contact Information

Gary Dale Montgomery, PA-C
12800 Bothell Everett Hwy, Ste A,
Everett, WA 98208-6642
(425) 316-5150
(425) 903-3142

Map and Direction




Provider's Profile

Full NameGary Dale Montgomery
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location12800 Bothell Everett Hwy, Everett, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary Dale Montgomery graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1104299601
  • Provider Enumeration Date: 11/05/2015
  • Last Update Date: 10/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1456636745
  • Enrollment ID: I20170329001345

Medical Identifiers

Medical identifiers for Gary Dale Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104299601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60577634 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Regional Medical Center EverettEverett, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services- Washington8325100480423

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. Gary Dale 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
Gary Dale Montgomery, PA-C
Po Box 827,
Bellevue, WA 98009-0827

Ph: (425) 563-6258
Gary Dale Montgomery, PA-C
12800 Bothell Everett Hwy, Ste A,
Everett, WA 98208-6642

Ph: (425) 316-5150

Reviews and Comments


Physician Assistant Nurses in Everett, WA

Mr. James Potocsnak, PAC
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Michael James Oliver,
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Gary K. Baal, PA-C
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Phone: 425-261-2000    
Travis B. Adelman, P.A.
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Ms. Jodi Stickler-ivie, PA
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Fantahun Mulugeta Tedla, P.A-C
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Practice Location: 3927 Rucker Ave, Everett, WA 98201
Phone: 425-339-5422    Fax: 425-339-5444

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.