Dionne Lashawn Montgomery, CNM is a medicare enrolled "Midwife" in Ogden, Utah. Her current practice location is
5319 S 500 E Ste C, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 917-6104.
Dionne Lashawn Montgomery is licensed to practice in Utah (license number 11868743-4402) 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 1821677600.
Provider's Profile
| Full Name | Dionne Lashawn Montgomery |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 5319 S 500 E Ste C, Ogden, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821677600
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587037296
- Enrollment ID: I20230228001662
Medical Identifiers
Medical identifiers for Dionne Lashawn Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821677600 | NPI | - | NPPES |
| 1821677600 | Medicaid | UT | |
| 1821677600 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 172801 (Alaska) | Secondary |
| 176B00000X | Midwife | 189197 (Alaska) | Secondary |
| 176B00000X | Midwife | 11868743-4402 (Utah) | 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. Dionne Lashawn Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | Via Vita Health Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952572927
PECOS PAC ID: 5597757112
Enrollment ID: O20040401001314 |
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| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
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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. Dionne Lashawn 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 |
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Dionne Lashawn Montgomery, CNM
5319 S 500 E Ste C,
Ogden, UT 84405-7218
Ph: (801) 917-6104 | Dionne Lashawn Montgomery, CNM
5319 S 500 E Ste C,
Ogden, UT 84405-7218
Ph: (801) 917-6104 |
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