Jacob Michael Ponder, APRN in Little Rock, AR

Jacob Michael Ponder, APRN is a medicare enrolled "Nurse Practitioner - Family" in Little Rock, Arkansas. His current practice location is 5326 West Markham Street, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 603-9885.

Jacob Michael Ponder is licensed to practice in Arkansas (license number A004482) 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 1225413693.

Contact Information

	Jacob Michael Ponder, APRN
	5326 West Markham Street, Little Rock, AR 72205
	(501) 603-9885
	(501) 603-9898

Map and Direction

Provider's Profile

Full Name	Jacob Michael Ponder
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5326 West Markham Street, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225413693
Provider Enumeration Date: 07/27/2015
Last Update Date: 07/20/2016

Medicare PECOS Information:

PECOS PAC ID: 6204144033
Enrollment ID: I20150929000492

Medical Identifiers

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

Identifier	Type	State	Issuer
1225413693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004482 (Arkansas)	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. Jacob Michael Ponder allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

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. Jacob Michael 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
Jacob Michael Ponder, APRN 8301 Leawood Blvd, Little Rock, AR 72205-1616 Ph: (310) 923-5754	Jacob Michael Ponder, APRN 5326 West Markham Street, Little Rock, AR 72205 Ph: (501) 603-9885

Reviews and Comments

Nurse Practitioner Nurses in Little Rock, AR

Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Jacob Michael Ponder, APRN - Medicare Nurse Practitioner in Little Rock, AR