Kevin Montgomery, PA-C, LPC is a
Physician Assistant - Medical based in Eglin Afb, Florida. Kevin Montgomery is licensed to practice in * (Not Available) (license number ) and his current practice location is
340 Boatner Rd, Eglin Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 883-9223.
NPI number for Kevin Montgomery is 1073023636 and his current mailing address is 1816 Brooke Beach Dr, Navarre, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073023636.
Healthcare Provider's Profile
| Full Name | Kevin Montgomery |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 340 Boatner Rd, Eglin Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073023636
- Provider Enumeration Date: 10/09/2017
- Last Update Date: 10/15/2021
Medical Identifiers
Medical identifiers for Kevin Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073023636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LPC010470 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 005095 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (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. Kevin 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 |
|---|
Kevin Montgomery, PA-C, LPC
1816 Brooke Beach Dr,
Navarre, FL 32566-7455
Ph: () - | Kevin Montgomery, PA-C, LPC
340 Boatner Rd,
Eglin Afb, FL 32542-1391
Ph: (850) 883-9223 |
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