Mario Natale Ponticello, DPM in Tacoma, WA - Medicare Podiatrist Provider

Mario Natale Ponticello, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-3505.

Mario Natale Ponticello is licensed to practice in Wisconsin (license number 950-25) 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 1134395734.

Contact Information

	Mario Natale Ponticello, DPM
	9040 Jackson Ave, Tacoma, WA 98431-0001
	(253) 968-3505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mario Natale Ponticello
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134395734
Provider Enumeration Date: 05/03/2008
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3274608351
Enrollment ID: I20080825000483

Medical Identifiers

Medical identifiers for Mario Natale Ponticello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134395734	NPI	-	NPPES
P00695367	Other	WI	RAIL ROAD MEDICARE
43244600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	950-25 (Wisconsin)	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. Mario Natale Ponticello allows following entities to bill medicare on his behalf.

Provider Name	Columbia St Marys Hospital Milwaukee Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Mario Natale Ponticello 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
Mario Natale Ponticello, DPM 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-3505	Mario Natale Ponticello, DPM 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-3505

Reviews and Comments

Podiatrist in Tacoma, WA

Robert Mcbride, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4050 S 19th St Ste 202, Tacoma, WA 98405 Phone: 253-565-3355 Fax: 253-564-6744
Philip R. Yearian Dpm Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2420 S Union Ave, Ste 300, Tacoma, WA 98405 Phone: 253-756-0888 Fax: 253-752-1704
Mr. Randolph Charles Fish, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 915 So. 76th St., Tacoma, WA 98408 Phone: 253-584-9530 Fax: 360-427-2769
Eric Edward Leonheart, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-1110
Dr. Nicholas S Heath, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7800 Pacific Ave, Suite 1, Tacoma, WA 98408 Phone: 253-473-5566 Fax: 253-882-0988
Tacoma Foot And Ankle Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1206 S 11th St, Suite 2, Tacoma, WA 98405 Phone: 253-272-0606 Fax: 253-272-2118

Mario Natale Ponticello, DPM - Medicare Podiatrist in Tacoma, WA