Derrick Alan Montgomery, MD is a medicare enrolled "Ophthalmology - Cornea And External Diseases Specialist" physician in Andrews Afb, Maryland. His current practice location is
316th Mdg, 1060 W. Perimeter Rd Suite 3k43, Andrews Afb, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 612-1730.
Derrick Alan Montgomery is licensed to practice in Ohio (license number 35.125039) 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 1225133499.
Physician's Profile
Full Name | Derrick Alan Montgomery |
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Gender | Male |
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Speciality | Ophthalmology - Cornea And External Diseases Specialist |
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Location | 316th Mdg, Andrews Afb, Maryland |
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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: 1225133499
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688673932
- Enrollment ID: I20150227000377
Medical Identifiers
Medical identifiers for Derrick Alan Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225133499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | A96117 (California) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 35.125039 (Ohio) | Secondary |
207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 35.125039 (Ohio) | 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. Derrick Alan Montgomery allows following entities to bill medicare on his behalf.
Entity Name | Southern Ohio Eye Surgical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447286059 PECOS PAC ID: 0446223382 Enrollment ID: O20040818000365 |
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Entity Name | Patrick L Spencer Do, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922051168 PECOS PAC ID: 0648322537 Enrollment ID: O20090724000076 |
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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. Derrick Alan 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 |
Derrick Alan Montgomery, MD 316th Mdg, 1060 W. Perimeter Rd Suite 3k43, Andrews Afb, MD 20762 Ph: (240) 612-1730 | Derrick Alan Montgomery, MD 316th Mdg, 1060 W. Perimeter Rd Suite 3k43, Andrews Afb, MD 20762 Ph: (240) 612-1730 |
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