Dr James C Montgomery, MD | |
1245 S Main St, Grapevine, TX 76051-7518 | |
(817) 310-0922 | |
(817) 310-0910 |
Full Name | Dr James C Montgomery |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1245 S Main St, Grapevine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861469603 | NPI | - | NPPES |
10020730Z | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | J8319 (Texas) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 015419 (Louisiana) | Secondary |
Entity Name | Edwards Dfw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275308991 PECOS PAC ID: 9739528142 Enrollment ID: O20240418001526 |
Mailing Address | Practice Location Address |
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Dr James C Montgomery, MD Po Box 938, Tyler, TX 75710-0938 Ph: (877) 839-9517 | Dr James C Montgomery, MD 1245 S Main St, Grapevine, TX 76051-7518 Ph: (817) 310-0922 |
Dr. Sam Jamshid Laali, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1650 W College St Ste 150, Grapevine, TX 76051 Phone: 817-481-1588 | |
Dr. Nicole Nguyen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 940 S Main St, Ste 191, Grapevine, TX 76051 Phone: 210-201-2241 Fax: 210-756-5125 | |
Dr. Imran Shuja Khawaja, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 823 Ira E Woods Ave Ste 200, Grapevine, TX 76051 Phone: 817-722-6078 Fax: 817-722-6077 | |
Dr. Howard Alan Lagrone, MD, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 S Main St, Suite 209, Grapevine, TX 76051 Phone: 817-410-4722 Fax: 817-410-4723 | |
Megan Kukielski, PA Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3801 William D Tate Ave Ste 800a, Grapevine, TX 76051 Phone: 817-612-4499 Fax: 855-295-2686 | |
Tanya Ann Zielinski, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 315 W Wall St, Suite 200, Grapevine, TX 76051 Phone: 214-642-1588 Fax: 817-796-1256 | |
Dr. Cherye C Callegan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1245 S Main St, Grapevine, TX 76051 Phone: 817-310-0922 Fax: 817-310-0910 |