Dr Daniele J Montgomery, MD | |
9 San Bartola Dr, St Augustine, FL 32086-5767 | |
(904) 825-4500 | |
(904) 825-3672 |
Full Name | Dr Daniele J Montgomery |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 9 San Bartola Dr, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861459661 | NPI | - | NPPES |
25632S | Other | FL | MEDICARE |
25632 | Other | FL | BCBS |
024339200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | ME 66664 (Florida) | Primary |
Entity Name | Cancer Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniele J Montgomery, MD 7015 Ac Skinner Parkway, Suite 1, Jacksonville, FL 32256 Ph: (904) 363-2113 | Dr Daniele J Montgomery, MD 9 San Bartola Dr, St Augustine, FL 32086-5767 Ph: (904) 825-4500 |
Dr. Jesus Manuel Salas Noain, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 40 Groover Loop Ste 200, St Augustine, FL 32086 Phone: 904-398-7205 Fax: 904-823-9613 | |
Dr. Rosemarie L. Lim, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244 | |
Dr. David Brett Goldberg, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Dr. Gaurav Trikha, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672 | |
Dr. Adey A A Hasan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310 | |
Bernard R Borbely, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086 Phone: 904-819-6800 Fax: 904-819-6700 | |
Dr. Daniel J Gassert, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 216 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6108 Fax: 904-823-9613 |