Ian David Montgomery, NP in Stanford, CA - Medicare Nurse Practitioner

Ian David Montgomery, NP is a medicare enrolled "Nurse Practitioner" in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Ian David Montgomery is licensed to practice in California (license number 95001118) 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 1518295633.

Contact Information

	Ian David Montgomery, NP
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ian David Montgomery
Gender	Male
Speciality	Nurse Practitioner
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518295633
Provider Enumeration Date: 12/01/2009
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3577885912
Enrollment ID: I20141215000009

Medical Identifiers

Medical identifiers for Ian David Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518295633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	609025 (New York)	Secondary
363L00000X	Nurse Practitioner	95001118 (California)	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. Ian David Montgomery allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	City & County Of San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Ian 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
Ian David Montgomery, NP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Ian David Montgomery, NP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Nurse Practitioner Nurses in Stanford, CA

Angie Dee Murkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Gloria Le Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Mrs. Joi Mei Soucy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Olinda Su Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Laura Lynne Asaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305 Phone: 650-723-6197
Nancy S. Brook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103
Mr. Richard Quitevis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-724-2906

Ian David Montgomery, NP - Medicare Nurse Practitioner in Stanford, CA