Mrs Kia Danielle Montgomery, NP in Jackson, MS

Mrs Kia Danielle Montgomery, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Jackson, Mississippi. Her current practice location is 350 W Woodrow Wilson Ave Ste 411, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 432-3070.

Mrs Kia Danielle Montgomery is licensed to practice in Mississippi (license number 904981) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588297873.

Contact Information

	Mrs Kia Danielle Montgomery, NP
	350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681
	(601) 432-3070
	(601) 364-2659

Map and Direction

Provider's Profile

Full Name	Mrs Kia Danielle Montgomery
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	350 W Woodrow Wilson Ave Ste 411, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588297873
Provider Enumeration Date: 02/15/2020
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2264827252
Enrollment ID: I20220309000849

Medical Identifiers

Medical identifiers for Mrs Kia Danielle Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588297873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	893817 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	893817 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	904981 (Mississippi)	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. Mrs Kia Danielle Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Ms State Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937

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 Kia Danielle 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
Mrs Kia Danielle Montgomery, NP 350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681 Ph: (601) 432-3070	Mrs Kia Danielle Montgomery, NP 350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681 Ph: (601) 432-3070

Reviews and Comments

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Mrs Kia Danielle Montgomery, NP - Medicare Nurse Practitioner in Jackson, MS