Dr Walter David Montgomery, MD is a medicare enrolled "Emergency Medicine - Hospice And Palliative Medicine" physician in Lebanon, Kentucky. His current practice location is
320 Loretto Rd, Lebanon, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 692-5180.
Dr Walter David Montgomery is licensed to practice in Kentucky (license number 31693) 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 1427275098.
Physician's Profile
Full Name | Dr Walter David Montgomery |
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Gender | Male |
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Speciality | Emergency Medicine - Hospice And Palliative Medicine |
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Location | 320 Loretto Rd, Lebanon, Kentucky |
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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: 1427275098
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 03/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870576358
- Enrollment ID: I20040608000456
Medical Identifiers
Medical identifiers for Dr Walter David Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427275098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | 31693 (Kentucky) | Primary |
207P00000X | Emergency Medicine | 31693 (Kentucky) | Secondary |
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 Walter David Montgomery allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
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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 Walter David 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 Walter David Montgomery, MD 2281 Lincoln Park Rd, Springfield, KY 40069 Ph: (859) 336-3941 | Dr Walter David Montgomery, MD 320 Loretto Rd, Lebanon, KY 40033 Ph: (270) 692-5180 |
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