Susan E Montgomery, MD in Madison, WI - Medicare Family Medicine

Susan E Montgomery, MD is a medicare enrolled "Family Medicine" physician in Madison, Wisconsin. Her current practice location is 5937 S Hill Dr, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Susan E Montgomery is licensed to practice in Wisconsin (license number 35686-020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083658116.

Contact Information

	Susan E Montgomery, MD
	5937 S Hill Dr, Madison, WI 53705-4463
	(000) 000-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan E Montgomery
Gender	Female
Speciality	Family Medicine
Location	5937 S Hill Dr, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083658116
Provider Enumeration Date: 06/16/2006
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6204831720
Enrollment ID: I20060915000357

Medical Identifiers

Medical identifiers for Susan E Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083658116	NPI	-	NPPES
32245300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35686-020 (Wisconsin)	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. Susan E Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207

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. Susan E 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
Susan E Montgomery, MD 5937 S Hill Dr, Madison, WI 53705-4463 Ph: () -	Susan E Montgomery, MD 5937 S Hill Dr, Madison, WI 53705-4463 Ph: (000) 000-0000

Reviews and Comments

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Susan E Montgomery, MD - Medicare Family Medicine in Madison, WI