Dr Jay Ponto, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Birmingham, Alabama. His current practice location is
1919 7th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 934-3411.
Dr Jay Ponto is licensed to practice in Alabama (license number 46593) 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 1568845949.
Healthcare Provider's Profile
Full Name | Dr Jay Ponto |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1919 7th Ave S, Birmingham, Alabama |
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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: 1568845949
- Provider Enumeration Date: 07/03/2015
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042595720
- Enrollment ID: I20230913002080
Medical Identifiers
Medical identifiers for Dr Jay Ponto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568845949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 63540 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 46593 (Alabama) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 46593 (Alabama) | 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. Dr Jay Ponto allows following entities to bill medicare on his behalf.
Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
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Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720761554 PECOS PAC ID: 1951213107 Enrollment ID: O20231219000148 |
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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. Dr Jay Ponto 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 |
Dr Jay Ponto, MD, DDS 1919 7th Ave S, Birmingham, AL 35233-2005 Ph: (205) 934-4011 | Dr Jay Ponto, MD, DDS 1919 7th Ave S, Birmingham, AL 35233-2005 Ph: (205) 934-3411 |
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