Benjamin E Montgomery (NPI# 1083609747, PAC ID# 9931245826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083609747 |
| PAC ID by PECOS | 9931245826 |
| Professional Enrollment ID | I20091007000067 |
| Full Name | Benjamin E Montgomery |
| Organization Legal Name | MEMORIAL PHYSICIAN SERVICES |
| Address |
15 Founders St Suite 100 Jacksonville IL 62650-3918 |
| Phone Number | 2172430300 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032005681 |
| Number of Group Practice Members | 151 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140058 | PASSAVANT AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 | 2172430300 | MEMORIAL PHYSICIAN SERVICES |
| Organization Legal Name | MEMORIAL PHYSICIAN SERVICES |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Mccormick | Nurse Practitioner | Memorial Physician Services | 3225 Hedley Rd, Springfield, IL 62711-6248 |
| Katie M Turley | Clinical Social Worker | Memorial Physician Services | 2950 S 6th St, Springfield, IL 62703-5904 |
| Lindsey N Ostermeier | Nurse Practitioner | Memorial Physician Services | 3220 Atlanta St, Springfield, IL 62707-8801 |
| Madeleine D Heckenkamp | Nurse Practitioner | Memorial Physician Services | 3132 Old Jacksonville Rd, Suite 110, Springfield, IL 62704-7401 |
| Karen A Koenig | Nurse Practitioner | Memorial Physician Services | 2603 S 6th St, Springfield, IL 62703-3489 |
| Andrea Sheley | Nurse Practitioner | Memorial Physician Services | 515 N College St, Lincoln, IL 62656-1401 |
| Alissa D Smith | Nurse Practitioner | Memorial Physician Services | 101 E Plummer Blvd, Chatham, IL 62629-8047 |
| Robert Charles Bussing | Internal Medicine | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Jillian Henry | Obstetrics/gynecology | Memorial Physician Services | 101 E Plummer Blvd, Chatham, IL 62629-8047 |
| Melanie R Reynolds | Nurse Practitioner | Memorial Physician Services | 101 E Plummer Blvd, Chatham, IL 62629-8047 |
| Street Address |
15 FOUNDERS ST SUITE 100 |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-3918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Peterson | Family Medicine | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Molly A Taylor | Nurse Practitioner | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Erin Schafer | Family Medicine | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Sondra S Hoover | Nurse Practitioner | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Misty Dawn Spencer | Clinical Social Worker | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Doug R Mckain | Nurse Practitioner | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Omar Arturo Vargas | Internal Medicine | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Diane M Lietz | Nurse Practitioner | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin E Montgomery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.