Dr Samuel Ponce Nandin, MD - Medicare General Practice in Goodyear, AZ

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Dr Samuel Ponce Nandin, MD is a medicare enrolled "General Practice" physician in Goodyear, Arizona. His current practice location is 13851 W La Mar Blvd, Ste C, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 925-2622.

Dr Samuel Ponce Nandin is licensed to practice in Arizona (license number AZ15582) 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 1124180054.

Contact Information

Dr Samuel Ponce Nandin, MD
13851 W La Mar Blvd, Ste C,
Goodyear, AZ 85338-1389
(623) 925-2622
(623) 925-9260

Map and Direction




Physician's Profile

Full NameDr Samuel Ponce Nandin
GenderMale
SpecialityGeneral Practice
Location13851 W La Mar Blvd, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124180054
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 06/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658279088
  • Enrollment ID: I20031223000233

Medical Identifiers

Medical identifiers for Dr Samuel Ponce Nandin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124180054NPI-NPPES
106223600OtherAZOWCP
562491245OtherAZAZ. FOUNDATION FOR MEDICA
562491245OtherAZLIFE WISE HEALTHPLAN
562491245OtherAZUNITEDHEALTH CARE
562491245OtherAZSCF OF ARIZONA
AZ0766630OtherAZBCBS OF AZ
562491245OtherAZHUMANA
273607001OtherAZAHCCCS
562491245OtherAZBEECHSTREET NETWORK
2Z1748OtherAZHEALTH NET
5008111OtherAZAETNA PROVIDER NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice AZ15582 (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. Dr Samuel Ponce Nandin allows following entities to bill medicare on his behalf.
Entity NameUrgent Care Centers Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013421429
PECOS PAC ID: 5890971097
Enrollment ID: O20110524000733

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 Samuel Ponce Nandin 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 Samuel Ponce Nandin, MD
13851 W La Mar Blvd, Ste C,
Goodyear, AZ 85338-1389

Ph: (623) 925-2622		Dr Samuel Ponce Nandin, MD
13851 W La Mar Blvd, Ste C,
Goodyear, AZ 85338-1389

Ph: (623) 925-2622

Reviews and Comments


General Practice Doctors in Goodyear, AZ

Dr. Baiywo Rop, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 13805 W Van Buren St Ste B, Goodyear, AZ 85338
Phone: 480-559-5805    
Linda-michelle Ledesma, D.O.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3328 N Litchfield Rd, Goodyear, AZ 85395
Phone: 623-239-0394    Fax: 623-536-5813

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.