Keri Montgomery, NP is a medicare enrolled "Family Medicine - Adult Medicine" in St. Helena, California. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Clearlake Hospital Inc., Adventist Health Physicians Network and her current practice location is
6 Woodland Road, Suite 304, St. Helena, California. You can reach out to her office (for appointments etc.) via phone at
(707) 963-7200.
Keri Montgomery is licensed to practice in California (license number 95012403) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881925154.
Provider's Profile
| Full Name | Keri Montgomery |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 6 Woodland Road, St. Helena, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keri Montgomery graduated from nursing school in 2009
NPI Data:
- NPI Number: 1881925154
- Provider Enumeration Date: 01/26/2010
- Last Update Date: 02/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769518406
- Enrollment ID: I20191210002226
Medical Identifiers
Medical identifiers for Keri Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881925154 | NPI | - | NPPES |
| 7005510 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 203144 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | C-APN.0000068-C-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0991663-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95012403 (California) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 95012403 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adventist Health Clearlake Hospital Inc. | 3072421197 | 75 |
| Adventist Health Physicians Network | 3274580972 | 572 |
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. Keri Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | St. Helena Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720078082
PECOS PAC ID: 8729059878
Enrollment ID: O20040803001176 |
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| Entity Name | Adventist Health Clearlake Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573 |
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| Entity Name | Adventist Health Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633 |
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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. Keri 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 |
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Keri Montgomery, NP
6 Woodland Road, Suite 304,
St. Helena, CA 94574
Ph: (707) 963-7200 | Keri Montgomery, NP
6 Woodland Road, Suite 304,
St. Helena, CA 94574
Ph: (707) 963-7200 |
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