Joseph Alexander Montgomery, - Medicare Physician Assistant in Saint Paul, MN

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Joseph Alexander Montgomery, is a medicare enrolled "Physician Assistant" in Saint Paul, Minnesota. His current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3456.

Joseph Alexander Montgomery is licensed to practice in Minnesota (license number 13632) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376100990.

Contact Information

Joseph Alexander Montgomery,
640 Jackson St,
Saint Paul, MN 55101-2502
(651) 254-3456
Not Available

Map and Direction




Provider's Profile

Full NameJoseph Alexander Montgomery
GenderMale
SpecialityPhysician Assistant
Location640 Jackson St, Saint Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376100990
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 03/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901214683
  • Enrollment ID: I20220920002225

Medical Identifiers

Medical identifiers for Joseph Alexander Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376100990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 13632 (Minnesota)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. Joseph Alexander Montgomery allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameChelan County Public Hospital District No. 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962406389
PECOS PAC ID: 3971491234
Enrollment ID: O20040308001273
Entity NameGrant County Public Hospital District No. 3
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134283930
PECOS PAC ID: 6709775166
Enrollment ID: O20040312001134
Entity NameChelan County Public Hospital District No. 1
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1962406389
PECOS PAC ID: 3971491234
Enrollment ID: O20080128000803
Entity NameAdams County Public Hospital District 3
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811108822
PECOS PAC ID: 5092604801
Enrollment ID: O20110929000565
Entity NameTacoma Emergency Care Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770823791
PECOS PAC ID: 5294971800
Enrollment ID: O20130425000636
Entity NameWestern Washington Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801352505
PECOS PAC ID: 0749514735
Enrollment ID: O20190625002379

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. Joseph Alexander 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
Joseph Alexander Montgomery,
8170 33rd Ave S,
Bloomington, MN 55425-4516

Ph: Not Available		Joseph Alexander Montgomery,
640 Jackson St,
Saint Paul, MN 55101-2502

Ph: (651) 254-3456

Reviews and Comments


Physician Assistant Nurses in Saint Paul, MN

Jordan Thaddeus Mahieu, PA-C
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Mr. Christopher Lawrence Kaye, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson Street, Saint Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-9673
Shaun Sava, PA-C
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Erin Nicole Dehn, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-254-4887    Fax: 651-254-1603
Kira Elizabeth Oien, PA-C
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Practice Location: 2401 Fairview Ave N # 145, Saint Paul, MN 55113
Phone: 763-225-9050    

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.