Dr Blake Karlton Montgomery, MD in Saint Louis, MO

Dr Blake Karlton Montgomery, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Saint Louis, Missouri. His current practice location is 1 Childrens Pl, Ste 1b, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 454-6062.

Dr Blake Karlton Montgomery is licensed to practice in Missouri (license number 2023011215) 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 1104270610.

Contact Information

	Dr Blake Karlton Montgomery, MD
	1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002
	(314) 454-6062
	(314) 454-5054

Map and Direction

Physician's Profile

Full Name	Dr Blake Karlton Montgomery
Gender	Male
Speciality	Orthopaedic Surgery - Pediatric Orthopaedic Surgery
Location	1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104270610
Provider Enumeration Date: 04/20/2016
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0547662595
Enrollment ID: I20210713002182

Medical Identifiers

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

Identifier	Type	State	Issuer
1104270610	NPI	-	NPPES
200124874	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XP3100X	Orthopaedic Surgery - Pediatric Orthopaedic Surgery	2023011215 (Missouri)	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 Blake Karlton Montgomery allows following entities to bill medicare on his behalf.

Entity Name	Children's Orthopaedic Surgery Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548344393 PECOS PAC ID: 2365424876 Enrollment ID: O20040607000823

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 Blake Karlton 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 Blake Karlton Montgomery, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 454-6062	Dr Blake Karlton Montgomery, MD 1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 Ph: (314) 454-6062

Reviews and Comments

Orthopaedic Surgery Doctors in Saint Louis, MO

Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598

Dr Blake Karlton Montgomery, MD - Medicare Orthopaedic Surgery in Saint Louis, MO