Roger Karl Pons, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Herrin, Illinois. His current practice location is
315 S 13th St Ste 3, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 988-6157.
Roger Karl Pons is licensed to practice in Illinois (license number 036167569) 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 1548217383.
Physician's Profile
| Full Name | Roger Karl Pons |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 315 S 13th St Ste 3, Herrin, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548217383
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214097450
- Enrollment ID: I20220927002559
Medical Identifiers
Medical identifiers for Roger Karl Pons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548217383 | NPI | - | NPPES |
| 001722622 | Other | | BLUE CROSS BLUE SHIELD |
| 000504600 | Medicaid | FL | |
| V006270 | Other | | CHAMPUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | ME102585 (Florida) | Secondary |
| 208C00000X | Colon & Rectal Surgery | ME102585 (Florida) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 036167569 (Illinois) | 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. Roger Karl Pons allows following entities to bill medicare on his behalf.
| Entity Name | Owensboro Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818 |
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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. Roger Karl Pons 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 |
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Roger Karl Pons, MD
2 S Hospital Dr,
Murphysboro, IL 62966-3333
Ph: (305) 331-1675 | Roger Karl Pons, MD
315 S 13th St Ste 3,
Herrin, IL 62948-3666
Ph: (618) 988-6157 |
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