Charlotte Montgomery, FNP is a medicare enrolled "Family Medicine" physician in Middleton, Tennessee. Her current practice location is
727 S Main St, Middleton, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 376-2804.
Charlotte Montgomery is licensed to practice in Tennessee (license number APN0000005776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164404166.
Physician's Profile
Full Name | Charlotte Montgomery |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 727 S Main St, Middleton, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164404166
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 10/07/2010
Medicare PECOS Information:
- PECOS PAC ID: 0547251035
- Enrollment ID: I20040522000231
Medical Identifiers
Medical identifiers for Charlotte Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164404166 | NPI | - | NPPES |
3928238 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APN0000005776 (Tennessee) | 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. Charlotte 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 |
Charlotte Montgomery, FNP 727 S Main St, Po Box 536, Middleton, TN 38052-3607 Ph: (731) 376-2804 | Charlotte Montgomery, FNP 727 S Main St, Middleton, TN 38052-3607 Ph: (731) 376-2804 |
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