Bruce A Montgomery, DO | |
5757 Monclova Rd, Ste 24, Maumee, OH 43537-1863 | |
(419) 897-2270 | |
(419) 897-2290 |
Full Name | Bruce A Montgomery |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5757 Monclova Rd, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689657934 | NPI | - | NPPES |
000000142183 | Other | OH | ANTHEM BCBS |
02111 | Other | OH | PARAMOUNT HEALTH CARE |
0904927 | Medicaid | OH | |
080155060 | Other | OH | PALMETTO GBA RAILROAD MED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34004231M (Ohio) | Primary |
Entity Name | Highland Health Providers Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396702445 PECOS PAC ID: 0244257848 Enrollment ID: O20051101001066 |
Entity Name | Preferred Physician Services Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538899638 PECOS PAC ID: 7315328069 Enrollment ID: O20220713001050 |
Entity Name | Curana Health Of Ohio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760114961 PECOS PAC ID: 3375924301 Enrollment ID: O20220721001870 |
Entity Name | Ch Specialty Services Oh Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326747734 PECOS PAC ID: 5799140984 Enrollment ID: O20230421001297 |
Mailing Address | Practice Location Address |
---|---|
Bruce A Montgomery, DO 5757 Monclova Rd, Ste 24, Maumee, OH 43537-1863 Ph: (419) 897-2270 | Bruce A Montgomery, DO 5757 Monclova Rd, Ste 24, Maumee, OH 43537-1863 Ph: (419) 897-2270 |
Bradley Paul Everly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622 | |
Shalini Singh, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5757 Monclova Rd, Suite 11, Maumee, OH 43537 Phone: 419-887-8780 Fax: 419-887-8781 | |
Renella Alcaraz Gauamis, APRN,CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5757 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8417 Fax: 418-897-8411 | |
Dr. Lee Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1715 Indian Wood Cir Ste Office, Maumee, OH 43537 Phone: 419-578-8594 | |
Russell Jay Graff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-893-5968 | |
Dr. Eva H. Bernblum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Dudley St, Maumee, OH 43537 Phone: 419-893-1971 Fax: 419-893-2321 | |
Dr. Travis E. Rasor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd, Maumee, OH 43537 Phone: 419-893-3321 Fax: 419-897-1316 |