Mrs Ebony Monique Montgomery, APRN - Nurse Practitioner in Jacksonville, AR

Mrs Ebony Monique Montgomery, APRN is a Nurse Practitioner - Gerontology based in Jacksonville, Arkansas. Mrs Ebony Monique Montgomery is licensed to practice in Arkansas (license number 125407) and her current practice location is 1410 Braden Street, Jacksonville, Arkansas. She can be reached at her office (for appointments etc.) via phone at (870) 280-2578.

NPI number for Mrs Ebony Monique Montgomery is 1629531595 and her current mailing address is 12216 Amaranth Dr, North Little Rock, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629531595.

Contact Information

Mrs Ebony Monique Montgomery, APRN
1410 Braden Street,
Jacksonville, AR 72076
(870) 280-2578
(844) 447-2520

Map and Direction




Provider's Profile

Full NameMrs Ebony Monique Montgomery
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1410 Braden Street, Jacksonville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629531595
  • Provider Enumeration Date: 04/08/2019
  • Last Update Date: 11/04/2024

Medical Identifiers

Medical identifiers for Mrs Ebony Monique Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629531595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 125407 (Arkansas)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. Mrs Ebony Monique 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 AddressPractice Location Address
Mrs Ebony Monique Montgomery, APRN
12216 Amaranth Dr,
North Little Rock, AR 72117-9753

Ph: (501) 319-3256
Mrs Ebony Monique Montgomery, APRN
1410 Braden Street,
Jacksonville, AR 72076

Ph: (870) 280-2578

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, AR

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Rita Margaret Odom, NP
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Practice Location: 1110 W Main St, Jacksonville, AR 72076
Phone: 501-982-2108    Fax: 501-982-4951
Ashley Renee Poppy, APRN, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1401 Braden St, Jacksonville, AR 72076
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Sue Sullivan, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 1409 Braden St, Jacksonville, AR 72076
Phone: 501-982-0576    Fax: 501-982-0041
Dr. Cesalie Deonne Wallace, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 3000 North First Street, Jacksonville, AR 72076
Phone: 501-982-7477    

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.