Connie Marie Chen Montgomery, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Foster City, California. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
812 Rigel Ln, Foster City, California. You can reach out to her office (for appointments etc.) via phone at
(909) 224-6336.
Connie Marie Chen Montgomery is licensed to practice in California (license number A113699) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114161114.
Physician's Profile
Full Name | Connie Marie Chen Montgomery |
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Gender | Female |
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Speciality | Diagnostic Radiology |
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Experience | 15 Years |
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Location | 812 Rigel Ln, Foster City, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Connie Marie Chen Montgomery graduated from medical school in 2009
NPI Data:
- NPI Number: 1114161114
- Provider Enumeration Date: 04/22/2009
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042439499
- Enrollment ID: I20140916002917
Medical Identifiers
Medical identifiers for Connie Marie Chen Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114161114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | A113699 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Permanente Medical Group Inc | 8921910225 | 8376 |
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. Connie Marie Chen Montgomery allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
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Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584 |
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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. Connie Marie Chen 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 |
Connie Marie Chen Montgomery, MD 812 Rigel Ln, Foster City, CA 94404-2767 Ph: (909) 224-6336 | Connie Marie Chen Montgomery, MD 812 Rigel Ln, Foster City, CA 94404-2767 Ph: (909) 224-6336 |
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