Dr John E Montgomery, MD | |
1159 W Jefferson St Ste 304, Franklin, IN 46131-2795 | |
(317) 736-5515 | |
(317) 738-0198 |
Full Name | Dr John E Montgomery |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1159 W Jefferson St Ste 304, Franklin, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033142898 | NPI | - | NPPES |
100386210 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01041404 (Indiana) | Primary |
Entity Name | Johnson Memorial Health Physician Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053972331 PECOS PAC ID: 1850629361 Enrollment ID: O20190821004529 |
Mailing Address | Practice Location Address |
---|---|
Dr John E Montgomery, MD 13070 River Grove Dr, Columbus, IN 47203-4517 Ph: (812) 343-1723 | Dr John E Montgomery, MD 1159 W Jefferson St Ste 304, Franklin, IN 46131-2795 Ph: (317) 736-5515 |
Dr. Craig A Moorman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 W Jefferson St Ste T, Franklin, IN 46131 Phone: 317-736-5515 Fax: 317-738-0198 | |
Pratikshya Karki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1159 W Jefferson St Ste 304, Franklin, IN 46131 Phone: 317-736-5515 | |
Dr. Debra J. Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 W Jefferson St Ste T, Franklin, IN 46131 Phone: 317-736-5515 Fax: 317-738-0198 |