Kyle Jude Pontiff, MD in Baton Rouge, LA

Kyle Jude Pontiff, MD is a medicare enrolled "Pediatrics" physician in Baton Rouge, Louisiana. His current practice location is 8200 Constantin Blvd Fl 1, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-5500.

Kyle Jude Pontiff is licensed to practice in Louisiana (license number 207988) 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 1902161177.

Contact Information

	Kyle Jude Pontiff, MD
	8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481
	(225) 765-5500
	(225) 374-0501

Map and Direction

Physician's Profile

Full Name	Kyle Jude Pontiff
Gender	Male
Speciality	Pediatrics
Location	8200 Constantin Blvd Fl 1, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902161177
Provider Enumeration Date: 07/12/2012
Last Update Date: 08/05/2021

Medicare PECOS Information:

PECOS PAC ID: 5193039915
Enrollment ID: I20150806010857

Medical Identifiers

Medical identifiers for Kyle Jude Pontiff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902161177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	GETP.200986 (Louisiana)	Secondary
208000000X	Pediatrics	54631 (Tennessee)	Secondary
2080S0010X	Pediatrics - Sports Medicine	2020020214 (Missouri)	Secondary
208000000X	Pediatrics	207988 (Louisiana)	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. Kyle Jude Pontiff allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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. Kyle Jude Pontiff 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
Kyle Jude Pontiff, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011	Kyle Jude Pontiff, MD 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481 Ph: (225) 765-5500

Reviews and Comments

Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-1733
Traci T. Lacy, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044
Dr. Michelle L Flechas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810 Phone: 225-769-2003 Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809 Phone: 225-374-1410 Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806 Phone: 225-765-5633 Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818 Phone: 225-761-5200
Dr. Erin Rantz Hauck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Suite 103, Pediatric Hospitalist Of La, Baton Rouge, LA 70808 Phone: 225-767-6700 Fax: 225-767-6721

Kyle Jude Pontiff, MD - Medicare Pediatrics in Baton Rouge, LA