Lisa R Ponfick, MD in Fort Collins, CO - Medicare Psychiatry & Neurology

Lisa R Ponfick, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Collins, Colorado. Her current practice location is 4856 Innovation Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 494-4200.

Lisa R Ponfick is licensed to practice in Colorado (license number DR.0071115) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962416255.

Contact Information

	Lisa R Ponfick, MD
	4856 Innovation Dr, Fort Collins, CO 80525-5539
	(970) 494-4200
	(970) 613-4475

Map and Direction

Physician's Profile

Full Name	Lisa R Ponfick
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4856 Innovation Dr, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962416255
Provider Enumeration Date: 07/29/2006
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8022016948
Enrollment ID: I20231104000787

Medical Identifiers

Medical identifiers for Lisa R Ponfick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962416255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DR.0071115 (Colorado)	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. Lisa R Ponfick allows following entities to bill medicare on her behalf.

Entity Name	Summitstone Health Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768

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. Lisa R Ponfick 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
Lisa R Ponfick, MD 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200	Lisa R Ponfick, MD 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Collins, CO

Nora Feldpausch, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5525 Trail Pt, Fort Collins, CO 80524 Phone: 989-640-1063
Dr. Jillian Leigh Busch, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4857 Fax: 970-207-4885
Dr. Brian Lee Kaiser, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1106 E Prospect Rd, Suite 100, Fort Collins, CO 80525 Phone: 970-482-4373 Fax: 970-484-5682
Zeljko M Ivanovic, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Bristlecone Dr, Fort Collins, CO 80524 Phone: 970-224-5209
Dr. Kathleen P Whitley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200
Donald A Golen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd Ste 110, Fort Collins, CO 80528 Phone: 970-482-4373 Fax: 970-484-5682
Janice Hanlon-toth, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4856 Innovation Dr, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475

Lisa R Ponfick, MD - Medicare Psychiatry & Neurology in Fort Collins, CO