Dr John Thomas Ponti, MD - Medicare Sports Medicine in Pawtucket, RI

Dr John Thomas Ponti, MD is a medicare enrolled "Family Medicine" physician in Pawtucket, Rhode Island. He went to University Of Massachusetts Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Southcoast Physicians Group Inc and his current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-2961.

Dr John Thomas Ponti is licensed to practice in Rhode Island (license number LP04413) 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 1275023160.

Contact Information

Dr John Thomas Ponti, MD
111 Brewster St,
Pawtucket, RI 02860
(401) 729-2961
Not Available

Map and Direction




Physician's Profile

Full NameDr John Thomas Ponti
GenderMale
SpecialitySports Medicine
Experience6 Years
Location111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare AssignmentsYes. 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 John Thomas Ponti attended and graduated from University Of Massachusetts Medical School in 2018
  NPI Data:
  • NPI Number: 1275023160
  • Provider Enumeration Date: 05/16/2018
  • Last Update Date: 07/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9931457223
  • Enrollment ID: I20220822002319

Medical Identifiers

Medical identifiers for Dr John Thomas Ponti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275023160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LP04413 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southcoast Visiting Nurse Association IncFairhaven, MAHome health agency
Southcoast Hospitals GroupFall river, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southcoast Physicians Group Inc0749171957744

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 John Thomas Ponti allows following entities to bill medicare on his behalf.
Entity NameSouthcoast Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138

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 John Thomas Ponti 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 AddressPractice Location Address
Dr John Thomas Ponti, MD
20 Natick St,
Worcester, MA 01604-6018

Ph: (978) 886-8219
Dr John Thomas Ponti, MD
111 Brewster St,
Pawtucket, RI 02860

Ph: (401) 729-2961

Reviews and Comments


Family Medicine Doctors in Pawtucket, RI

Nelson Mendes, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 381 Pawtucket Ave, Pawtucket, RI 02860
Phone: 401-965-4382    
Sara Elizabeth Holmes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 530-448-1740    
Dr. Ashley Michelle Lakin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Fcc C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Devon Paul Hughes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2894    
Pearl Igwe, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2206    Fax: 401-921-6962
Marian Younge, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2304    Fax: 401-729-2923
Dawn M Borschel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-921-6924

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.