Dr Jimmy Nolan Ponder Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gray, Louisiana. His current practice location is
123 Frontage A Rd, Gray, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 580-1200.
Dr Jimmy Nolan Ponder Jr is licensed to practice in Louisiana (license number 020658) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689644874.
Physician's Profile
Full Name | Dr Jimmy Nolan Ponder Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 123 Frontage A Rd, Gray, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jimmy Nolan Ponder Jr attended and graduated from in
NPI Data:
- NPI Number: 1689644874
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 07/08/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jimmy Nolan Ponder Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689644874 | NPI | - | NPPES |
1903680 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 020658 (Louisiana) | Primary |
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 Jimmy Nolan Ponder Jr 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 Jimmy Nolan Ponder Jr, MD 123 Frontage A Rd, Gray, LA 70359-6301 Ph: (985) 580-1200 | Dr Jimmy Nolan Ponder Jr, MD 123 Frontage A Rd, Gray, LA 70359-6301 Ph: (985) 580-1200 |
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