Dr Jimmy Nolan Ponder Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gray, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1989 and has 35 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Headache And Pain Center, A Medical Corporation and 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 | Interventional Pain Management |
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Experience | 35 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 Louisiana State University School Of Medicine In New Orleans in 1989
NPI Data:
- NPI Number: 1689644874
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 07/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 8325025935
- Enrollment ID: I20040701000952
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Headache And Pain Center, A Medical Corporation | 5890777114 | 4 |
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 Jimmy Nolan Ponder Jr allows following entities to bill medicare on his behalf.
Entity Name | Headache & Pain Center, A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073568325 PECOS PAC ID: 5890777114 Enrollment ID: O20040602000184 |
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Entity Name | Advanced Anesthesia Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114974235 PECOS PAC ID: 0941235097 Enrollment ID: O20050928000457 |
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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 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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