Kelsey Ponder, PT, DPT in Fayetteville, AR - Medicare Physical Therapist Provider

Kelsey Ponder, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, Arkansas. Her current practice location is 2607 E Mission Blvd Ste E, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 435-9227.

Kelsey Ponder is licensed to practice in Arkansas (license number PT5309) 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 1962183681.

Contact Information

	Kelsey Ponder, PT, DPT
	2607 E Mission Blvd Ste E, Fayetteville, AR 72703-3260
	(479) 435-9227
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Ponder
Gender	Female
Speciality	Physical Therapist
Location	2607 E Mission Blvd Ste E, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962183681
Provider Enumeration Date: 07/26/2023
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2466814140
Enrollment ID: I20230811001375

Medical Identifiers

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

Identifier	Type	State	Issuer
1962183681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5309 (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. Kelsey Ponder allows following entities to bill medicare on her behalf.

Provider Name	Serc Rehabilitation Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20150220000556

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. Kelsey 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
Kelsey Ponder, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Kelsey Ponder, PT, DPT 2607 E Mission Blvd Ste E, Fayetteville, AR 72703-3260 Ph: (479) 435-9227

Reviews and Comments

Physical Therapist in Fayetteville, AR

Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711

Kelsey Ponder, PT, DPT - Medicare Physical Therapist in Fayetteville, AR