| Jason T Montgomery, PA | |
|
476 N 900 W, Suite C, American Fork, UT 84003-5199 | |
| (801) 492-1611 | |
| (801) 492-1480 |
| Full Name | Jason T Montgomery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 476 N 900 W, American Fork, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215119953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6743553-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospital And Clinics | Salt lake city, UT | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Surgical Services | 6002130481 | 43 |
| Entity Name | After Hours Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437251279 PECOS PAC ID: 8123926904 Enrollment ID: O20031230000815 |
| Entity Name | University of Utah Surgical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174928139 PECOS PAC ID: 6002130481 Enrollment ID: O20150112002158 |
| Entity Name | University of Utah Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141 |
| Entity Name | University of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T Montgomery, PA Po Box 8476, Belfast, ME 04915-8476 Ph: (801) 542-8222 | Jason T Montgomery, PA 476 N 900 W, Suite C, American Fork, UT 84003-5199 Ph: (801) 492-1611 |
Lexis Amanda Cooper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1248 E 90 N # 300, American Fork, UT 84003 Phone: 801-756-9635 |
Andrew Benjamin Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1184 E 80 N, American Fork, UT 84003 Phone: 801-763-3885 Fax: 801-763-3887 |
James Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 N 1100 E Ste 203, American Fork, UT 84003 Phone: 801-492-2445 |
Stephen A Loper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 300, American Fork, UT 84003 Phone: 801-753-4712 |
Ms. Marla Morillo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 250, American Fork, UT 84003 Phone: 801-855-2980 |
Dawn Thi Thuy Ngo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 E 50 S Ste 221, American Fork, UT 84003 Phone: 801-772-0775 Fax: 801-772-1941 |
Hunter Parduhn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1248 E 90 N # 300, American Fork, UT 84003 Phone: 801-756-9635 |