Dr Jerianne Montgomery, OD in Maple Valley, WA - Medicare Optometrist Provider

Dr Jerianne Montgomery, OD is a medicare enrolled "Optometrist" provider in Maple Valley, Washington. Her current practice location is 26615 Maple Valley Black Diamond Rd Se, Maple Valley, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 413-8787.

Dr Jerianne Montgomery is licensed to practice in Washington (license number 60314137) 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 1164844734.

Contact Information

	Dr Jerianne Montgomery, OD
	26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347
	(425) 413-8787
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerianne Montgomery
Gender	Female
Speciality	Optometrist
Location	26615 Maple Valley Black Diamond Rd Se, Maple Valley, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164844734
Provider Enumeration Date: 01/15/2014
Last Update Date: 01/22/2016

Medicare PECOS Information:

PECOS PAC ID: 4486985389
Enrollment ID: I20191008000310

Medical Identifiers

Medical identifiers for Dr Jerianne Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164844734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	60314137 (Washington)	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. Dr Jerianne Montgomery allows following entities to bill medicare on her behalf.

Provider Name	Maple Valley Eye Care Center Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124224217 PECOS PAC ID: 0446249411 Enrollment ID: O20040506001306

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. Dr Jerianne 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
Dr Jerianne Montgomery, OD 21806 240th Pl Se, Maple Valley, WA 98038-8463 Ph: (253) 737-8336	Dr Jerianne Montgomery, OD 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8347 Ph: (425) 413-8787

Reviews and Comments

Optometrist in Maple Valley, WA

Maple Valley Eye Care Center Ps Optometrist Medicare: Medicare Enrolled Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012
Dr. Ryan Scott Bennion, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465
Robert Keil Neal, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012
Rebecca Jeanne Velasco Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 26615 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-413-8787 Fax: 425-413-4012
Maple Valley Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465
Scott W Bennion, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23714 222nd Pl Se Ste B, Maple Valley, WA 98038 Phone: 425-432-1206 Fax: 425-413-4465

Dr Jerianne Montgomery, OD - Medicare Optometrist in Maple Valley, WA