Tasha Rose Ponce, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Johns Island, South Carolina. Her current practice location is
3227 Walter Dr Ste 3b, Johns Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 872-5454.
Tasha Rose Ponce is licensed to practice in South Carolina (license number LMFT7011) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124650825.
Healthcare Provider's Profile
Full Name | Tasha Rose Ponce |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3227 Walter Dr Ste 3b, Johns Island, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124650825
- Provider Enumeration Date: 02/10/2020
- Last Update Date: 02/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648601799
- Enrollment ID: I20231218001763
Medical Identifiers
Medical identifiers for Tasha Rose Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124650825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT7011 (South Carolina) | 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. Tasha Rose Ponce allows following entities to bill medicare on her behalf.
Entity Name | Uderitz Family Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477077329 PECOS PAC ID: 8325313851 Enrollment ID: O20171009001780 |
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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. Tasha Rose 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 |
Tasha Rose Ponce, MA, LMFT 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 Ph: () - | Tasha Rose Ponce, MA, LMFT 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 Ph: (843) 872-5454 |
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