Leonard Darnell Montgomery, PA-C is a medicare enrolled "Internal Medicine" in Fairmont, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Emory Medical Care Foundation Inc and his current practice location is
800 Medical Center Dr, Fairmont, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 238-8100.
Leonard Darnell Montgomery is licensed to practice in Georgia (license number 8573) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114397742.
Provider's Profile
| Full Name | Leonard Darnell Montgomery |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 800 Medical Center Dr, Fairmont, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leonard Darnell Montgomery attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015
NPI Data:
- NPI Number: 1114397742
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274841457
- Enrollment ID: I20240129000484
Medical Identifiers
Medical identifiers for Leonard Darnell Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114397742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | C0007177 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 12181 (Minnesota) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 6155 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 8573 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emory Medical Care Foundation Inc | 4981501814 | 814 |
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. Leonard Darnell 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 |
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Leonard Darnell Montgomery, PA-C
1850 Town Center Pkwy Ste 309,
Reston, VA 20190-3300
Ph: (703) 705-4180 | Leonard Darnell Montgomery, PA-C
800 Medical Center Dr,
Fairmont, MN 56031-4575
Ph: (507) 238-8100 |
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