Colby Ponder, in Houston, MS - Medicare Nurse Practitioner

Colby Ponder, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Houston, Mississippi. He went to University Of South Alabama College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sound Mind Psychiatry Pllc and his current practice location is 105 W Hamilton St, Houston, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 598-8141.

Colby Ponder is licensed to practice in Mississippi (license number 903137) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023572294.

Contact Information

	Colby Ponder,
	105 W Hamilton St, Houston, MS 38851-2209
	(662) 598-8141
	(662) 796-3126

Map and Direction

Provider's Profile

Full Name	Colby Ponder
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	105 W Hamilton St, Houston, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colby Ponder attended and graduated from University Of South Alabama College Of Medicine in 2018

NPI Data:

NPI Number: 1023572294
Provider Enumeration Date: 01/22/2019
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8426390824
Enrollment ID: I20190506001159

Medical Identifiers

Medical identifiers for Colby Ponder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023572294	NPI	-	NPPES
00018203	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	903137 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sound Mind Psychiatry Pllc	2264856673	2

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. Colby Ponder allows following entities to bill medicare on his behalf.

Entity Name	Northeast Mental Health-mental Retardation Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548413628 PECOS PAC ID: 5193611747 Enrollment ID: O20040223000473

Entity Name	Sound Mind Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174157689 PECOS PAC ID: 2264856673 Enrollment ID: O20200717002584

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. Colby 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
Colby Ponder, 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595	Colby Ponder, 105 W Hamilton St, Houston, MS 38851-2209 Ph: (662) 598-8141

Reviews and Comments

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Colby Ponder, - Medicare Nurse Practitioner in Houston, MS