Mariana Ponce, NP in Tyler, TX - Medicare Nurse Practitioner

Mariana Ponce, NP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. Her current practice location is 700 Olympic Plaza Cir Ste 600, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 596-3488.

Mariana Ponce is licensed to practice in Texas (license number 1109842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982301222.

Contact Information

	Mariana Ponce, NP
	700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954
	(903) 596-3488
	(903) 596-3843

Map and Direction

Provider's Profile

Full Name	Mariana Ponce
Gender	Female
Speciality	Nurse Practitioner
Location	700 Olympic Plaza Cir Ste 600, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982301222
Provider Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4183098080
Enrollment ID: I20230315002984

Medical Identifiers

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

Identifier	Type	State	Issuer
1982301222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1109842 (Texas)	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. Mariana Ponce allows following entities to bill medicare on her behalf.

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Mariana 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
Mariana Ponce, NP 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954 Ph: (903) 596-3488	Mariana Ponce, NP 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954 Ph: (903) 596-3488

Reviews and Comments

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Mariana Ponce, NP - Medicare Nurse Practitioner in Tyler, TX