Jeffshan Sam Jose John Ponnarasu, PA is a
Physician Assistant based in Cheraw, South Carolina. Jeffshan Sam Jose John Ponnarasu is licensed to practice in South Carolina (license number 5338) and his current practice location is
316 2nd St, Cheraw, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 921-4851.
NPI number for Jeffshan Sam Jose John Ponnarasu is 1003677220 and his current mailing address is 709 Mall Blvd, Savannah, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003677220.
Provider's Profile
| Full Name | Jeffshan Sam Jose John Ponnarasu |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 316 2nd St, Cheraw, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003677220
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Jeffshan Sam Jose John Ponnarasu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003677220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5338 (South Carolina) | 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. Jeffshan Sam Jose John Ponnarasu 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 |
|---|
Jeffshan Sam Jose John Ponnarasu, PA
709 Mall Blvd,
Savannah, GA 31406-4805
Ph: () - | Jeffshan Sam Jose John Ponnarasu, PA
316 2nd St,
Cheraw, SC 29520-2404
Ph: (843) 921-4851 |
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