Mrs Kymberlee A Montgomery, CRNP in Philadelphia, PA

Mrs Kymberlee A Montgomery, CRNP is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kennedy Medical Group Practice, P.c. and her current practice location is 216 N Broad St, 4th Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 762-3600.

Mrs Kymberlee A Montgomery is licensed to practice in Pennsylvania (license number VP003479G) 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 1033264007.

Contact Information

	Mrs Kymberlee A Montgomery, CRNP
	216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121
	(215) 762-3600
	(215) 762-4323

Map and Direction

Provider's Profile

Full Name	Mrs Kymberlee A Montgomery
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	216 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kymberlee A Montgomery graduated from nursing school in 2009

NPI Data:

NPI Number: 1033264007
Provider Enumeration Date: 01/23/2007
Last Update Date: 10/08/2020

Medicare PECOS Information:

PECOS PAC ID: 0446302053
Enrollment ID: I20090713000374

Medical Identifiers

Medical identifiers for Mrs Kymberlee A Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033264007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN295794L (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	VP003479G (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Stratford Hospital	Stratford, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kennedy Medical Group Practice, P.c.	2860616877	310

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 Kymberlee A Montgomery allows following entities to bill medicare on her behalf.

Entity Name	Kennedy Medical Group Practice, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689

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 Kymberlee A 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 Kymberlee A Montgomery, CRNP 1601 Cherry St Ste 1012, Phila, PA 19102-1320 Ph: (267) 359-5638	Mrs Kymberlee A Montgomery, CRNP 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 Ph: (215) 762-3600

Reviews and Comments

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Mrs Kymberlee A Montgomery, CRNP - Medicare Nurse Practitioner in Philadelphia, PA