Dr Mitchell W Ponsford, DMD in Boerne, TX - Medicare Dentist Provider

Dr Mitchell W Ponsford, DMD is a medicare enrolled "Dentist - Periodontics" provider in Boerne, Texas. His current practice location is 248 N Main St Ste 1, Boerne, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 816-5102.

Dr Mitchell W Ponsford is licensed to practice in Texas (license number 31434) 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 1073982252.

Contact Information

	Dr Mitchell W Ponsford, DMD
	248 N Main St Ste 1, Boerne, TX 78006
	(830) 816-5102
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mitchell W Ponsford
Gender	Male
Speciality	Dentist - Periodontics
Location	248 N Main St Ste 1, Boerne, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073982252
Provider Enumeration Date: 09/17/2015
Last Update Date: 07/19/2018

Medicare PECOS Information:

PECOS PAC ID: 4183922321
Enrollment ID: I20201229002930

Medical Identifiers

Medical identifiers for Dr Mitchell W Ponsford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073982252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	31434 (Texas)	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 Mitchell W Ponsford allows following entities to bill medicare on his behalf.

Entity Name	Justin Anthony Dacy Dds Ms Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164623203 PECOS PAC ID: 5799196648 Enrollment ID: O20201124002707

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 Mitchell W Ponsford 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 Mitchell W Ponsford, DMD 248 N Main St Ste 1, Boerne, TX 78006-2036 Ph: (830) 816-5102	Dr Mitchell W Ponsford, DMD 248 N Main St Ste 1, Boerne, TX 78006 Ph: (830) 816-5102

Reviews and Comments

Dentist in Boerne, TX

Dr. David Joel Gomillion, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 32350 Ih 10 W, Boerne, TX 78006 Phone: 830-249-2045 Fax: 830-249-6076
Barry F Gooden, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 Medical Dr, Boerne, TX 78006 Phone: 830-249-8559 Fax: 830-249-2340
Weston Alan Manuel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 W Bandera Rd Ste 4b, Boerne, TX 78006 Phone: 830-428-3698
Dr. David Edgar Deas, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 248 N Main St, Boerne, TX 78006 Phone: 830-816-5102
Dr. Keyur Bhagat, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 27650 Interstate 10 W Ste 203, Boerne, TX 78006 Phone: 210-577-0516
Dr. Brent J. Callegari, DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 9627 Boerne Spg, Boerne, TX 78006 Phone: 210-268-9863

Dr Mitchell W Ponsford, DMD - Medicare Dentist in Boerne, TX