Dr Samuel Jacob Montgomery Jr, MD is a medicare enrolled "Ophthalmology" physician in Clinton, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Clemson Eye Pa and 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 | Ophthalmology |
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| Experience | 29 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 Medical University Of South Carolina College Of Medicine in 1995
NPI Data:
- NPI Number: 1467488551
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860469244
- Enrollment ID: I20100728000351
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 |
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| 207W00000X | Ophthalmology | 20855 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clemson Eye Pa | 4183537764 | 46 |
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 Samuel Jacob Montgomery Jr allows following entities to bill medicare on his behalf.
| Entity Name | Clemson Eye Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447383831
PECOS PAC ID: 4183537764
Enrollment ID: O20031110000508 |
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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 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 |
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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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