Bruce Montgomerie, MD - Medicare Pediatrics in West Valley City, UT

Bruce Montgomerie, MD is a medicare enrolled "Pediatrics" physician in West Valley City, Utah. His current practice location is 3725 W 4100 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Bruce Montgomerie is licensed to practice in Utah (license number 1846081205) 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 1780615153.

Contact Information

Bruce Montgomerie, MD
3725 W 4100 S,
West Valley City, UT 84120-5411
(801) 965-3600
(801) 965-3526



Physician's Profile

Full NameBruce Montgomerie
GenderMale
SpecialityPediatrics
Location3725 W 4100 S, West Valley City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780615153
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022323203
  • Enrollment ID: I20150817002755

Medical Identifiers

Medical identifiers for Bruce Montgomerie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780615153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1846081205 (Utah)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. Bruce Montgomerie allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Bruce Montgomerie 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
Bruce Montgomerie, MD
3725 W 4100 S,
West Valley City, UT 84120-5411

Ph: (801) 965-3600
Bruce Montgomerie, MD
3725 W 4100 S,
West Valley City, UT 84120-5411

Ph: (801) 965-3600

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Pediatrics Doctors in West Valley City, UT

Dr. Mary E Shapiro, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3730 W 4700 S, West Valley City, UT 84118
Phone: 801-213-9200    
Mary Jane Pennington, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3725 W 4100 South, West Valley City, UT 84120
Phone: 801-965-3600    Fax: 801-965-3526
Dr. Ryan K Frome, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3448    
Dr. Julie I Wilkerson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3725 W 4100 S, West Valley City, UT 84120
Phone: 801-965-3600    Fax: 801-965-3526
Alyson Eyre, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3600    
Dana C Ostermiller, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3725 W 4100 S, West Valley City, UT 84120
Phone: 801-965-3600    
Craig A Brasher, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3600    

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