Keisha Nicole Montgomery, PRSS is a
Peer Specialist based in Williamson, West Virginia. Keisha Nicole Montgomery is licensed to practice in * (Not Available) (license number ) and her current practice location is
101 Logan St Ste 200, Williamson, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 235-3570.
NPI number for Keisha Nicole Montgomery is 1356089577 and her current mailing address is 141 Cow Creek Rd, Omar, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356089577.
Healthcare Provider's Profile
| Full Name | Keisha Nicole Montgomery |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 101 Logan St Ste 200, Williamson, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356089577
- Provider Enumeration Date: 05/26/2022
- Last Update Date: 05/26/2022
Medical Identifiers
Medical identifiers for Keisha Nicole Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356089577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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. Keisha Nicole Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keisha Nicole Montgomery, PRSS
141 Cow Creek Rd,
Omar, WV 25638-9516
Ph: (304) 928-5656 | Keisha Nicole Montgomery, PRSS
101 Logan St Ste 200,
Williamson, WV 25661-0016
Ph: (304) 235-3570 |
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