Sean Anthony Ponce, MD in Salt Lake City, UT

Sean Anthony Ponce, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Salt Lake City, Utah. His current practice location is 3802 S 700 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 264-6004.

Sean Anthony Ponce is licensed to practice in Utah (license number 4976571-1205) 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 1376577049.

Contact Information

	Sean Anthony Ponce, MD
	3802 S 700 E, Salt Lake City, UT 84106-1182
	(801) 264-6004
	(801) 264-6098

Map and Direction

Physician's Profile

Full Name	Sean Anthony Ponce
Gender	Male
Speciality	Family Medicine - Addiction Medicine
Location	3802 S 700 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376577049
Provider Enumeration Date: 07/10/2006
Last Update Date: 04/29/2016

Medicare PECOS Information:

PECOS PAC ID: 8022070671
Enrollment ID: I20041027000505

Medical Identifiers

Medical identifiers for Sean Anthony Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376577049	NPI	-	NPPES
1376577049	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0401X	Family Medicine - Addiction Medicine	4976571-1205 (Utah)	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. Sean Anthony Ponce allows following entities to bill medicare on his behalf.

Entity Name	Usa Vein Clinics Of Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225640717 PECOS PAC ID: 7719306604 Enrollment ID: O20200925001386

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. Sean Anthony Ponce 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
Sean Anthony Ponce, MD 3802 S 700 E, Salt Lake City, UT 84106-1182 Ph: (801) 264-6004	Sean Anthony Ponce, MD 3802 S 700 E, Salt Lake City, UT 84106-1182 Ph: (801) 264-6004

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Sean Anthony Ponce, MD - Medicare Family Medicine in Salt Lake City, UT