Edson Gerry Ponraj, MD in Lakewood, WA - Medicare Emergency Medicine

Edson Gerry Ponraj, MD is a medicare enrolled "Emergency Medicine" physician in Lakewood, Washington. His current practice location is 11315 Bridgeport Way Sw, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 589-8700.

Edson Gerry Ponraj is licensed to practice in Washington (license number MD00043988) 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 1396783940.

Contact Information

	Edson Gerry Ponraj, MD
	11315 Bridgeport Way Sw, Lakewood, WA 98499-3004
	(253) 589-8700
	(253) 581-6588

Map and Direction

Physician's Profile

Full Name	Edson Gerry Ponraj
Gender	Male
Speciality	Emergency Medicine
Location	11315 Bridgeport Way Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396783940
Provider Enumeration Date: 06/04/2006
Last Update Date: 03/05/2008

Medicare PECOS Information:

PECOS PAC ID: 6103809413
Enrollment ID: I20040825001205

Medical Identifiers

Medical identifiers for Edson Gerry Ponraj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396783940	NPI	-	NPPES
1186PO	Other	WA	BSWA
8400749	Medicaid	WA
0186779	Other	WA	LIWA
0186778	Other	WA	LIWA
2165PO	Other	WA	BSWA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD00043988 (Washington)	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. Edson Gerry Ponraj allows following entities to bill medicare on his behalf.

Entity Name	Northwest Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892

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. Edson Gerry Ponraj 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
Edson Gerry Ponraj, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180	Edson Gerry Ponraj, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 589-8700

Reviews and Comments

Emergency Medicine Doctors in Lakewood, WA

Kelly A Phillips, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499 Phone: 253-985-8700
Mrs. Tiffany C Crabb, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499 Phone: 253-582-7257 Fax: 253-582-1617
Matthew M Rice, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588
James Bae Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-944-7922
Sean Thomas Baxter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-589-8700 Fax: 253-581-6588
Robert William Jensen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588
Michael J Larson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-838-6418

Edson Gerry Ponraj, MD - Medicare Emergency Medicine in Lakewood, WA