Montgomery Davis, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maumelle, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is
53 Meadow Ridge Loop, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 718-4194.
Montgomery Davis is licensed to practice in Texas (license number 1031057) 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 1265029284.
Provider's Profile
| Full Name | Montgomery Davis |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 53 Meadow Ridge Loop, Maumelle, Arkansas |
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| Accepts Medicare Assignments | Yes. She 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:
- Montgomery Davis graduated from nursing school in 2020
NPI Data:
- NPI Number: 1265029284
- Provider Enumeration Date: 12/23/2020
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608285291
- Enrollment ID: I20210512000548
Medical Identifiers
Medical identifiers for Montgomery Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265029284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1031057 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | R099213 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1031057 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northstar Anesthesia Iii Pa | 0042630501 | 338 |
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. Montgomery Davis allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Iii Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080 |
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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. Montgomery Davis 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 |
|---|
Montgomery Davis,
53 Meadow Ridge Loop,
Maumelle, AR 72113-6879
Ph: (870) 718-4194 | Montgomery Davis,
53 Meadow Ridge Loop,
Maumelle, AR 72113-6879
Ph: (870) 718-4194 |
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