Juan C Ponce, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Doral, Florida. His current practice location is
8323 Nw 12th St Ste 108, Doral, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 400-8511.
Juan C Ponce is licensed to practice in Florida (license number APRN11012428) 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 1639848419.
Healthcare Provider's Profile
| Full Name | Juan C Ponce |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 8323 Nw 12th St Ste 108, Doral, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639848419
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688063670
- Enrollment ID: I20211112001285
Medical Identifiers
Medical identifiers for Juan C Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639848419 | NPI | - | NPPES |
| 112093100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN11012428 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11012428 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11012428 (Florida) | 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. Juan C Ponce allows following entities to bill medicare on his behalf.
| Entity Name | Banyan Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104247188
PECOS PAC ID: 0547410011
Enrollment ID: O20121017000910 |
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| Entity Name | Community Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649733544
PECOS PAC ID: 6204164882
Enrollment ID: O20190820003457 |
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| Entity Name | American Rehabilitation Medical Center Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386195923
PECOS PAC ID: 8224483334
Enrollment ID: O20231010002178 |
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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. Juan C 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 Address | Practice Location Address |
|---|
Juan C Ponce, APRN, PMHNP-BC
3501 Del Prado Blvd S Ste 303,
Cape Coral, FL 33904-7222
Ph: (239) 317-0265 | Juan C Ponce, APRN, PMHNP-BC
8323 Nw 12th St Ste 108,
Doral, FL 33126-1839
Ph: (305) 400-8511 |
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