Dr John Alan Montgomery, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fortuna, California. His current practice location is
3300 Renner Dr, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at
(707) 725-3361.
Dr John Alan Montgomery is licensed to practice in California (license number G19237) 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 1609836782.
Physician's Profile
Full Name | Dr John Alan Montgomery |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 3300 Renner Dr, Fortuna, California |
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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: 1609836782
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799814521
- Enrollment ID: I20100603000462
Medical Identifiers
Medical identifiers for Dr John Alan Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609836782 | NPI | - | NPPES |
00G192370 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G19237 (California) | 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. Dr John Alan Montgomery allows following entities to bill medicare on his behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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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. Dr John 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 |
Dr John Alan Montgomery, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (800) 883-7243 | Dr John Alan Montgomery, MD 3300 Renner Dr, Fortuna, CA 95540-3120 Ph: (707) 725-3361 |
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