Jason Montgomery, NP-C | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 239-2580 | |
(208) 239-2580 |
Full Name | Jason Montgomery |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 777 Hospital Way, Pocatello, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013270792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1182A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | Bmh Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Jason Montgomery, NP-C 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-2580 | Jason Montgomery, NP-C 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-2580 |
Kealee Arehart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201 Phone: 208-239-1650 | |
Travis Newsom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1750 | |
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 Fax: 208-232-2195 | |
Ms. Amie Beth Kenyen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201 Phone: 208-589-3844 | |
Chelsey Aslett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Codie M Robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Vista Dr, Pocatello, ID 83201 Phone: 208-234-2300 |