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

Marisa M Montgomery, is a medicare enrolled "Nurse Practitioner - Family" in Goldsboro, North Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Immediate Care Of Goldsboro Pllc and her current practice location is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 731-6060.

Marisa M Montgomery is licensed to practice in North Carolina (license number 5007175) 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 1396147559.

Contact Information

Marisa M Montgomery,
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494
(919) 731-6060
(919) 587-2988

Map and Direction




Provider's Profile

Full NameMarisa M Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2700 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marisa M Montgomery attended and graduated from Brody School Of Medicine At East Carolina University in 2014
  NPI Data:
  • NPI Number: 1396147559
  • Provider Enumeration Date: 09/19/2014
  • Last Update Date: 03/25/2021
  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.
IdentifierTypeStateIssuer
1396147559NPI-NPPES
10038532OtherNCNC MEDICAL LIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5007175 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Immediate Care Of Goldsboro Pllc599160397914

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 NameImmediate Care Of Goldsboro Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952397028
PECOS PAC ID: 5991603979
Enrollment ID: O20031229000769
Entity NameGoldsboro Emergency Medical Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Marisa M Montgomery,
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494

Ph: (919) 731-6060
Marisa M Montgomery,
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494

Ph: (919) 731-6060

Reviews and Comments


Nurse Practitioner Nurses in Goldsboro, NC

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: Accepting Medicare Assignments
Practice Location: 2609 Medical Office Pl, Goldsboro, NC 27534
Phone: 919-734-1779    
Mrs. Jennifer Potter, NP
Nurse Practitioner
Medicare: Medicare Enrolled
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    
Mrs. Brenda Julian, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1410 E. Ash Ave, Family Works Psychological Center, Goldsboro, NC 27530
Phone: 919-778-8551    

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.