Kimberly Dawn Montgomery, AGACNP in Ft Worth, TX - Medicare Certified Clinical Nurse Specialist (cns)

Kimberly Dawn Montgomery, AGACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Ft Worth, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Dallas Pulmonary And Critical Care, Pa, Dfw Critical Care Llc and her current practice location is 1400 8th Ave Bldg C, Suite 3001, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 922-2173.

Kimberly Dawn Montgomery is licensed to practice in Texas (license number 1074250) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568802940.

Contact Information

	Kimberly Dawn Montgomery, AGACNP
	1400 8th Ave Bldg C, Suite 3001, Ft Worth, TX 76104-4110
	(817) 922-2173
	(817) 922-1047

Map and Direction

Provider's Profile

Full Name	Kimberly Dawn Montgomery
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	12 Years
Location	1400 8th Ave Bldg C, Ft Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Dawn Montgomery graduated from nursing school in 2012

NPI Data:

NPI Number: 1568802940
Provider Enumeration Date: 06/28/2013
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 1850527243
Enrollment ID: I20131113000236

Medical Identifiers

Medical identifiers for Kimberly Dawn Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568802940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2200X	Clinical Nurse Specialist - Adult Health	665885 (Texas)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	1074250 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White All Saints Medical Center Fort Worth	Fort worth, TX	Hospital
Methodist Mansfield Medical Center	Mansfield, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dallas Pulmonary And Critical Care, Pa	2163679200	148
Dfw Critical Care Llc	7618261884	12

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. Kimberly Dawn Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Texas Centers For Infectious Disease Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750332441 PECOS PAC ID: 4880596451 Enrollment ID: O20040123000462

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Entity Name	Dallas Pulmonary & Critical Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235402728 PECOS PAC ID: 2163679200 Enrollment ID: O20120824000752

Entity Name	Dfw Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184071771 PECOS PAC ID: 7618261884 Enrollment ID: O20160810002395

Entity Name	Sound Physicians Anesthesiology Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612

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. Kimberly Dawn 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
Kimberly Dawn Montgomery, AGACNP 1001 College Ave Ste A, Ft Worth, TX 76104-3000 Ph: (817) 336-6000	Kimberly Dawn Montgomery, AGACNP 1400 8th Ave Bldg C, Suite 3001, Ft Worth, TX 76104-4110 Ph: (817) 922-2173

Reviews and Comments

Nurse Practitioner Nurses in Ft Worth, TX

Marian Abibatu James, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3301 Stalcup Rd Ste 201, Ft Worth, TX 76119 Phone: 817-702-1100 Fax: 817-702-1101
Lisa Kneedler, RNC, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Ft Worth, TX 76104 Phone: 817-250-2892
Mrs. April A Tolbert, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Yucca Ave, Ste 129, Ft Worth, TX 76111 Phone: 817-759-2273 Fax: 817-753-2276
Diane Craig Turner, RN,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 S Main St Rm 1500b, Ft Worth, TX 76104 Phone: 817-321-4813 Fax: 817-321-4809
Sara C Michael, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 Western Pl Ste 800, Ft Worth, TX 76107 Phone: 877-868-4827
James Randall Radnedge, RNC,NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Ft Worth, TX 76104 Phone: 817-250-2892
Casie Laine Coon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7510 N Beach St, Ft Worth, TX 76137 Phone: 817-498-1818 Fax: 817-581-3761

Kimberly Dawn Montgomery, AGACNP - Medicare Certified Clinical Nurse Specialist (cns) in Ft Worth, TX