Mr Travis Montgomery, RNFA is a
Specialist/technologist, Other - Surgical Assistant based in Oak Lawn, Illinois. Mr Travis Montgomery is licensed to practice in Illinois (license number 238000654) and his current practice location is
4400 W 95th St Ste 308, Oak Lawn, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 346-4040.
NPI number for Mr Travis Montgomery is 1679054696 and his current mailing address is 9500 Bormet Dr Ste 204, Mokena, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679054696.
Provider's Profile
Full Name | Mr Travis Montgomery |
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Gender | Male |
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Speciality | Specialist/technologist, Other - Surgical Assistant |
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Location | 4400 W 95th St Ste 308, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679054696
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 04/08/2020
Medical Identifiers
Medical identifiers for Mr Travis Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679054696 | NPI | - | NPPES |
041472495 | Other | IL | IL RN LICENSE |
238000654 | Other | IL | IL SA LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WR0006X | Registered Nurse - Registered Nurse First Assistant | 041472495 (Illinois) | Secondary |
246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238000654 (Illinois) | Primary |
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 Travis Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Travis Montgomery, RNFA 9500 Bormet Dr Ste 204, Mokena, IL 60448-8399 Ph: (708) 346-4044 | Mr Travis Montgomery, RNFA 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 Ph: (708) 346-4040 |
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