Devin Ponder, CRNA is a
Nurse Anesthetist, Certified Registered based in Pleasant Prairie, Wisconsin. Devin Ponder is licensed to practice in Wisconsin (license number 16294-33) and his current practice location is
12500 Aurora Dr, Pleasant Prairie, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(636) 577-2089.
NPI number for Devin Ponder is 1891502720 and his current mailing address is 686 Scanlon Dr Apt B2, Wheeling, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891502720.
Provider's Profile
Full Name | Devin Ponder |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891502720
- Provider Enumeration Date: 12/13/2024
- Last Update Date: 12/13/2024
Medical Identifiers
Medical identifiers for Devin Ponder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891502720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 16294-33 (Wisconsin) | Primary |
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. Devin Ponder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Devin Ponder, CRNA 686 Scanlon Dr Apt B2, Wheeling, IL 60090-2567 Ph: () - | Devin Ponder, CRNA 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (636) 577-2089 |
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