Gwendolyn Elaine Montgomery, NURSE PRACTITIONER in Ellenwood, GA

Gwendolyn Elaine Montgomery, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Ellenwood, Georgia. Her current practice location is 3962 Busby Mill Ct, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 314-7295.

Gwendolyn Elaine Montgomery is licensed to practice in Georgia (license number RN176860) 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 1629635859.

Contact Information

	Gwendolyn Elaine Montgomery, NURSE PRACTITIONER
	3962 Busby Mill Ct, Ellenwood, GA 30294-2052
	(404) 314-7295
	Not Available

Map and Direction

Provider's Profile

Full Name	Gwendolyn Elaine Montgomery
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3962 Busby Mill Ct, Ellenwood, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629635859
Provider Enumeration Date: 05/23/2019
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6305275538
Enrollment ID: I20200408004679

Medical Identifiers

Medical identifiers for Gwendolyn Elaine Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629635859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN176860 (Georgia)	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. Gwendolyn Elaine Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

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. Gwendolyn Elaine 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
Gwendolyn Elaine Montgomery, NURSE PRACTITIONER 3962 Busby Mill Ct, Ellenwood, GA 30294-2052 Ph: () -	Gwendolyn Elaine Montgomery, NURSE PRACTITIONER 3962 Busby Mill Ct, Ellenwood, GA 30294-2052 Ph: (404) 314-7295

Reviews and Comments

Nurse Practitioner Nurses in Ellenwood, GA

Sharalyn Marrion Martin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Saint Lukes Way, Ellenwood, GA 30294 Phone: 678-520-1616
Jacqueline Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Summit Heights Ct Ste 120, Ellenwood, GA 30294 Phone: 404-552-5128
Ms. Abosede Haygood, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4639 River Hill Cir, Ellenwood, GA 30294 Phone: 404-259-0967
Ngassa Nchapada Menga Faith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2568 Brittany Park Cv, Ellenwood, GA 30294 Phone: 404-578-5437
Rose Senge Kombe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750
Mrs. Terrilyn D Lemons, APRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4018 Park Place Cir, Ellenwood, GA 30294 Phone: 404-212-1024 Fax: 404-212-1024
Ms. Kakethia S. Mack, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4124 Bosenberry Way, Ellenwood, GA 30294 Phone: 678-463-6568 Fax: 678-463-6568

Gwendolyn Elaine Montgomery, NURSE PRACTITIONER - Medicare Nurse Practitioner in Ellenwood, GA