Mrs Sydney Mccary Ponder, is a medicare enrolled "Nurse Practitioner - Family" physician in Jackson, Mississippi. Her current practice location is
1325 E Fortification St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 354-4488.
Mrs Sydney Mccary Ponder is licensed to practice in Mississippi (license number 905764) 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 1033824297.
Physician's Profile
Full Name | Mrs Sydney Mccary Ponder |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1325 E Fortification St, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033824297
- Provider Enumeration Date: 01/20/2023
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254705551
- Enrollment ID: I20230329000326
Medical Identifiers
Medical identifiers for Mrs Sydney Mccary Ponder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033824297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 905764 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 905764 (Mississippi) | 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. Mrs Sydney Mccary Ponder allows following entities to bill medicare on her behalf.
Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
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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. Mrs Sydney Mccary Ponder 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 |
Mrs Sydney Mccary Ponder, 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488 | Mrs Sydney Mccary Ponder, 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488 |
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