Emmett Fulcher Montgomery, MD in Davidson, NC

Emmett Fulcher Montgomery, MD is a medicare enrolled "Family Medicine" physician in Davidson, North Carolina. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Avance Care Pa and his current practice location is 104 Knox Ct Ste 100, Davidson, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 892-5454.

Emmett Fulcher Montgomery is licensed to practice in North Carolina (license number 35242) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356337646.

Contact Information

	Emmett Fulcher Montgomery, MD
	104 Knox Ct Ste 100, Davidson, NC 28036-0590
	(704) 892-5454
	(704) 892-5858

Map and Direction

Physician's Profile

Full Name	Emmett Fulcher Montgomery
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	104 Knox Ct Ste 100, Davidson, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emmett Fulcher Montgomery graduated from medical school in 1989

NPI Data:

NPI Number: 1356337646
Provider Enumeration Date: 09/22/2005
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8820078736
Enrollment ID: I20100826000378

Medical Identifiers

Medical identifiers for Emmett Fulcher Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356337646	NPI	-	NPPES
8960083	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35242 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avance Care Pa	3577634476	228

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. Emmett Fulcher Montgomery allows following entities to bill medicare on his behalf.

Entity Name	Davidson Family Medicine, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811958812 PECOS PAC ID: 9931189008 Enrollment ID: O20040721000523

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

Entity Name	Afc Urgent Care And Family Care Of Wnc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679066658 PECOS PAC ID: 2567713332 Enrollment ID: O20180919000143

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. Emmett Fulcher 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
Emmett Fulcher Montgomery, MD Po Box 4329, Davidson, NC 28036-4329 Ph: (704) 892-5454	Emmett Fulcher Montgomery, MD 104 Knox Ct Ste 100, Davidson, NC 28036-0590 Ph: (704) 892-5454

Reviews and Comments

Family Medicine Doctors in Davidson, NC

Craig Justice White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Knox Court, Suite 100, Davidson, NC 28036 Phone: 704-892-5454 Fax: 704-892-5858
Jennifer Lyn Barlow, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Griffith St Ste 100, Davidson, NC 28036 Phone: 704-801-7900
Ronnie T. Beamon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Griffith St, Davidson, NC 28036 Phone: 704-801-7900
Nicole Anna Desantis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Knox Ct, Davidson, NC 28036 Phone: 704-892-5454
Kelly Elizabeth Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Griffith St, Davidson, NC 28036 Phone: 704-801-7900
Joan I. Schwanz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Griffith St, Suite 100, Davidson, NC 28036 Phone: 704-801-7900 Fax: 704-892-3889

Emmett Fulcher Montgomery, MD - Medicare Family Practice in Davidson, NC