| Matthew Montgomery, PA-C | |
|
45 Groover Loop Ste 201, Saint Augustine, FL 32086-6586 | |
| (904) 634-0640 | |
| Not Available |
| Full Name | Matthew Montgomery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 45 Groover Loop Ste 201, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114727153 | NPI | - | NPPES |
| 127049200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PENDING (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Montgomery, PA-C 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Matthew Montgomery, PA-C 45 Groover Loop Ste 201, Saint Augustine, FL 32086-6586 Ph: (904) 634-0640 |
Douglas Senecal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 | |
Brooks Michael Whalen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Lindsey Porubcan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-819-5155 Fax: 904-819-4906 | |
Brandon Braddock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd, Suite 4000, Saint Augustine, FL 32086 Phone: 904-824-8666 | |
Ms. Stephanie L Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 132 Goldenrod Dr, Saint Augustine, FL 32092 Phone: 815-342-4901 | |
Mr. Michael Stanley Jecen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 |