Marisa M Montgomery, NP in Goldsboro, NC - Medicare Nurse Practitioner

Marisa M Montgomery, NP is a medicare enrolled "Nurse Practitioner - Family" in Goldsboro, North Carolina. Her current practice location is 2604 Medical Office Pl Ofc Pl, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 580-0004.

Marisa M Montgomery is licensed to practice in North Carolina (license number 5007175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396147559.

Contact Information

	Marisa M Montgomery, NP
	2604 Medical Office Pl Ofc Pl, Goldsboro, NC 27534-9417
	(919) 580-0004
	(919) 580-9099

Map and Direction

Provider's Profile

Full Name	Marisa M Montgomery
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2604 Medical Office Pl Ofc Pl, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396147559
Provider Enumeration Date: 09/19/2014
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1951623917
Enrollment ID: I20141201002295

Medical Identifiers

Medical identifiers for Marisa M Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396147559	NPI	-	NPPES
10038532	Other	NC	NC MEDICAL LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5007175 (North Carolina)	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. Marisa M Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Immediate Care Of Goldsboro Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952397028 PECOS PAC ID: 5991603979 Enrollment ID: O20031229000769

Entity Name	Goldsboro Emergency Medical Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164418232 PECOS PAC ID: 5294633293 Enrollment ID: O20031229000879

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. Marisa M 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
Marisa M Montgomery, NP 2604 Medical Office Pl, Goldsboro, NC 27534-9417 Ph: (919) 580-0004	Marisa M Montgomery, NP 2604 Medical Office Pl Ofc Pl, Goldsboro, NC 27534-9417 Ph: (919) 580-0004

Reviews and Comments

Nurse Practitioner Nurses in Goldsboro, NC

Alyson Hardison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110
Summer Graham Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-731-1110
Jentry Ellon Naylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2809 Mclamb Pl, Goldsboro, NC 27534 Phone: 919-580-9840 Fax: 919-580-9838
Mrs. Katie Michelle Anthony, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736
Mrs. Lauren Lancaster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2609 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-1779
Mrs. Jennifer Potter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110
Ronnie Elaine Edmundson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017

Marisa M Montgomery, NP - Medicare Nurse Practitioner in Goldsboro, NC