Montana Wamsley, NP is a medicare enrolled "Nurse Practitioner - Family" in Apple Grove, West Virginia. His current practice location is
26489 Huntington Rd, Apple Grove, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 675-5725.
Montana Wamsley is licensed to practice in West Virginia (license number 114907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619683067.
Provider's Profile
| Full Name | Montana Wamsley |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 26489 Huntington Rd, Apple Grove, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619683067
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355716515
- Enrollment ID: I20230331002337
Medical Identifiers
Medical identifiers for Montana Wamsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619683067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 114907 (West Virginia) | 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. Montana Wamsley allows following entities to bill medicare on his behalf.
| Entity Name | University Physicians & Surgeons, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730183286
PECOS PAC ID: 2961315734
Enrollment ID: O20031107000331 |
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| Entity Name | Occumed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639289937
PECOS PAC ID: 6507864899
Enrollment ID: O20061121000309 |
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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. Montana Wamsley 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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Montana Wamsley, NP
Po Box 1680,
Huntington, WV 25717-1680
Ph: (304) 781-5151 | Montana Wamsley, NP
26489 Huntington Rd,
Apple Grove, WV 25502-8008
Ph: (304) 675-5725 |
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