Bruce Montgomerie, MD in West Valley City, UT

Bruce Montgomerie, MD is a medicare enrolled "Pediatrics" physician in West Valley City, Utah. His current practice location is 3725 W 4100 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Bruce Montgomerie is licensed to practice in Utah (license number 1846081205) 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 1780615153.

Contact Information

	Bruce Montgomerie, MD
	3725 W 4100 S, West Valley City, UT 84120-5411
	(801) 965-3600
	(801) 965-3526

Map and Direction

Physician's Profile

Full Name	Bruce Montgomerie
Gender	Male
Speciality	Pediatrics
Location	3725 W 4100 S, West Valley City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780615153
Provider Enumeration Date: 07/05/2006
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8022323203
Enrollment ID: I20150817002755

Medical Identifiers

Medical identifiers for Bruce Montgomerie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780615153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1846081205 (Utah)	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. Bruce Montgomerie allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Bruce Montgomerie 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
Bruce Montgomerie, MD 3725 W 4100 S, West Valley City, UT 84120-5411 Ph: (801) 965-3600	Bruce Montgomerie, MD 3725 W 4100 S, West Valley City, UT 84120-5411 Ph: (801) 965-3600

Reviews and Comments

Pediatrics Doctors in West Valley City, UT

Dr. Mary E Shapiro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200
Mary Jane Pennington, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Dr. Ryan K Frome, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3448
Dr. Julie I Wilkerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Alyson Eyre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
Dana C Ostermiller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600
Craig A Brasher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600

Bruce Montgomerie, MD - Medicare Pediatrics in West Valley City, UT