Latoya Venise Montfort, ACAGNP in Lawrenceville, GA

Latoya Venise Montfort, ACAGNP is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. Her current practice location is 250 Scenic Hwy, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 442-5800.

Latoya Venise Montfort is licensed to practice in Georgia (license number RN208269) 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 1528695137.

Contact Information

	Latoya Venise Montfort, ACAGNP
	250 Scenic Hwy, Lawrenceville, GA 30046-5675
	(678) 442-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Latoya Venise Montfort
Gender	Female
Speciality	Nurse Practitioner
Location	250 Scenic Hwy, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528695137
Provider Enumeration Date: 03/24/2020
Last Update Date: 03/24/2020

Medicare PECOS Information:

PECOS PAC ID: 6800277179
Enrollment ID: I20220718002054

Medical Identifiers

Medical identifiers for Latoya Venise Montfort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528695137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN208269 (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. Latoya Venise Montfort allows following entities to bill medicare on her behalf.

Entity Name	Community Primary Care Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321

Entity Name	Hardy Renew Wellness,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534

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. Latoya Venise Montfort 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
Latoya Venise Montfort, ACAGNP 2162 Boulder Gate Dr, Ellenwood, GA 30294-1682 Ph: (678) 536-8756	Latoya Venise Montfort, ACAGNP 250 Scenic Hwy, Lawrenceville, GA 30046-5675 Ph: (678) 442-5800

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: --
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Latoya Venise Montfort, ACAGNP - Medicare Nurse Practitioner in Lawrenceville, GA