Jordan Pond, DMD in Mesa, AZ - Medicare Dentist Provider

Jordan Pond, DMD is a medicare enrolled "Dentist" provider in Mesa, Arizona. His current practice location is 9221 E Baseline Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 357-7759.

Jordan Pond is licensed to practice in Arizona (license number D008952) 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 1104237593.

Contact Information

	Jordan Pond, DMD
	9221 E Baseline Rd, Mesa, AZ 85209-8310
	(480) 357-7759
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Pond
Gender	Male
Speciality	Dentist
Location	9221 E Baseline Rd, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104237593
Provider Enumeration Date: 05/19/2014
Last Update Date: 01/13/2015

Medicare PECOS Information:

PECOS PAC ID: 6103129069
Enrollment ID: I20170418000308

Medical Identifiers

Medical identifiers for Jordan Pond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104237593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D008952 (Arizona)	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. Jordan Pond allows following entities to bill medicare on his behalf.

Entity Name	San Carlos Apache Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091

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. Jordan Pond 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
Jordan Pond, DMD 3787 E Cullumber St, Gilbert, AZ 85234-4318 Ph: (480) 294-5686	Jordan Pond, DMD 9221 E Baseline Rd, Mesa, AZ 85209-8310 Ph: (480) 357-7759

Reviews and Comments

Dentist in Mesa, AZ

Dr. Stephen Vann, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1113 S. Signal Butte Rd Ste 101, Mesa, AZ 85208 Phone: 480-986-8013
Jose Andres Andrino, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 E Southern Ave Ste 101, Mesa, AZ 85204 Phone: 480-892-9000
Dr. Kevin Hyung Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4434 E. Brown Rd Ste 104, Mesa, AZ 85205 Phone: 480-654-3000 Fax: 480-654-0303
Dr. Nile Morgan Davis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1551 E University Dr, Mesa, AZ 85203 Phone: 480-834-6777 Fax: 480-833-6068
David Allen Curtis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 N Power Rd, #106, Mesa, AZ 85215 Phone: 480-654-5730 Fax: 480-654-5773
Dr. Bryce E. Justesen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 6, Mesa, AZ 85213 Phone: 480-835-5945 Fax: 480-890-2176
Dr. Raymond Mcready Travis Vanderwerf, DDS, CAGS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1630 S Stapley Dr, #208, Mesa, AZ 85204 Phone: 480-775-2656

Jordan Pond, DMD - Medicare Dentist in Mesa, AZ