Dr Samuel Jacob Montgomery Jr, MD is a medicare enrolled "Ophthalmology" physician in Clinton, South Carolina. His current practice location is
22995 Us Highway 76, Clinton, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 654-6706.
Dr Samuel Jacob Montgomery Jr is licensed to practice in South Carolina (license number 20855) 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 1467488551.
Physician's Profile
| Full Name | Dr Samuel Jacob Montgomery Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 22995 Us Highway 76, Clinton, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel Jacob Montgomery Jr attended and graduated from in
NPI Data:
- NPI Number: 1467488551
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel Jacob Montgomery Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467488551 | NPI | - | NPPES |
| 180045119 | Other | SC | RAILROAD MEDICARE |
| T49187 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 20855 (South Carolina) | Primary |
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 Samuel Jacob Montgomery Jr 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 Samuel Jacob Montgomery Jr, MD
Po Box 896189,
Charlotte, NC 28289-6189
Ph: (864) 654-6706 | Dr Samuel Jacob Montgomery Jr, MD
22995 Us Highway 76,
Clinton, SC 29325-7529
Ph: (864) 654-6706 |
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