Leonard Darnell Montgomery, PA-C is a medicare enrolled "Internal Medicine" in Fairmont, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mayo Clinic Health System-southwest Minnesota Region, Mayo Clinic Health System-fairmont and his current practice location is
800 Medical Center Dr, Fairmont, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 238-8100.
Leonard Darnell Montgomery is licensed to practice in Georgia (license number 8573) 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 1114397742.
Provider's Profile
Full Name | Leonard Darnell Montgomery |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 9 Years |
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Location | 800 Medical Center Dr, Fairmont, Minnesota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leonard Darnell Montgomery attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015
NPI Data:
- NPI Number: 1114397742
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274841457
- Enrollment ID: I20160926000808
Medical Identifiers
Medical identifiers for Leonard Darnell Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114397742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C0007177 (Maryland) | Secondary |
363A00000X | Physician Assistant | 12181 (Minnesota) | Secondary |
363AS0400X | Physician Assistant - Surgical | 6155 (Arizona) | Secondary |
207R00000X | Internal Medicine | 8573 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 533 |
Mayo Clinic Health System-fairmont | 4981694981 | 132 |
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. Leonard Darnell 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 |
Leonard Darnell Montgomery, PA-C 1850 Town Center Pkwy Ste 309, Reston, VA 20190-3300 Ph: (703) 705-4180 | Leonard Darnell Montgomery, PA-C 800 Medical Center Dr, Fairmont, MN 56031-4575 Ph: (507) 238-8100 |
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