Mr Keith Allen Montgomery Jr, NP - Medicare Nurse Practitioner in Adelanto, CA

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Mr Keith Allen Montgomery Jr, NP is a medicare enrolled "Nurse Practitioner" in Adelanto, California. His current practice location is 11965 Cactus Rd, Adelanto, California. You can reach out to his office (for appointments etc.) via phone at (760) 561-6081.

Mr Keith Allen Montgomery Jr is licensed to practice in California (license number 95008198) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790978617.

Contact Information

Mr Keith Allen Montgomery Jr, NP
11965 Cactus Rd,
Adelanto, CA 92301-4906
(760) 561-6081
(877) 778-9461

Map and Direction




Provider's Profile

Full NameMr Keith Allen Montgomery Jr
GenderMale
SpecialityNurse Practitioner
Location11965 Cactus Rd, Adelanto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790978617
  • Provider Enumeration Date: 08/23/2007
  • Last Update Date: 07/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830445725
  • Enrollment ID: I20180706002298

Medical Identifiers

Medical identifiers for Mr Keith Allen Montgomery Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790978617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 758758 (California)Secondary
363L00000XNurse Practitioner 95008198 (California)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. Mr Keith Allen Montgomery Jr allows following entities to bill medicare on his behalf.
Entity NameUnicare Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265854061
PECOS PAC ID: 8426369067
Enrollment ID: O20150623001589

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. Mr Keith Allen Montgomery Jr 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 AddressPractice Location Address
Mr Keith Allen Montgomery Jr, NP
625 Fair Oaks Ave Ste 270,
South Pasadena, CA 91030-5801

Ph: (626) 346-2455		Mr Keith Allen Montgomery Jr, NP
11965 Cactus Rd,
Adelanto, CA 92301-4906

Ph: (760) 561-6081

Reviews and Comments


Nurse Practitioner Nurses in Adelanto, CA

Yasmin Curameng Robles-gray, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11888 Bartlett Ave, Adelanto, CA 92301
Phone: 760-530-9944    
Nephat Amon Oliech,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15123 Strawberry Ln, Adelanto, CA 92301
Phone: 760-844-8683    
Jillian Kask Ross, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11499 Bartlett Ave, Adelanto, CA 92301
Phone: 760-444-4258    Fax: 760-530-9977

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.