James Michael Ponce, LPC - Medicare Counselor in Coraopolis, PA

James Michael Ponce, LPC is a medicare enrolled "Counselor - Professional" provider in Coraopolis, Pennsylvania. His current practice location is 15 Speer Dr, Coraopolis, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 413-1941.

James Michael Ponce is licensed to practice in Pennsylvania (license number PC015006) 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 1568145084.

Contact Information

James Michael Ponce, LPC
15 Speer Dr,
Coraopolis, PA 15108-3715
(412) 413-1941
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJames Michael Ponce
GenderMale
SpecialityCounselor - Professional
Location15 Speer Dr, Coraopolis, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568145084
  • Provider Enumeration Date: 08/10/2023
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143665778
  • Enrollment ID: I20240305001728

Medical Identifiers

Medical identifiers for James Michael Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568145084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional PC015006 (Pennsylvania)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. James Michael Ponce allows following entities to bill medicare on his behalf.
Entity NameHealing Bridges
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787234
PECOS PAC ID: 8820071947
Enrollment ID: O20040610000391

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. James Michael Ponce 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
James Michael Ponce, LPC
15 Speer Dr,
Coraopolis, PA 15108-3715

Ph: (412) 413-1941
James Michael Ponce, LPC
15 Speer Dr,
Coraopolis, PA 15108-3715

Ph: (412) 413-1941

Reviews and Comments


Counselor in Coraopolis, PA

Mikayla Bogaski, MS
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Medicare: Not Enrolled in Medicare
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Phone: 412-228-0173    
Kathleen Prince-pennington, LPC MS ED
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Practice Location: 19 Suffolk Dr, Coraopolis, PA 15108
Phone: 412-859-0808    
Nicholas Ryan White,
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Practice Location: 3421 Ventana Dr, Coraopolis, PA 15108
Phone: 412-418-4249    
Sandra Susanne Davis,
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Medicare: Medicare Enrolled
Practice Location: 2531 Minton Dr, Coraopolis, PA 15108
Phone: 412-523-9565    
Amy Valoski,
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Medicare: Not Enrolled in Medicare
Practice Location: 535 Carnot Rd Ste 1, Coraopolis, PA 15108
Phone: 412-397-8337    
Jodie Mcgovern, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Brodhead Rd, Coraopolis, PA 15108
Phone: 412-339-1782    
Elizabeth Thomeier Dornetto, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 993 Brodhead Rd Ste 203, Coraopolis, PA 15108
Phone: 412-996-9100    

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.