Ava Madison Ponto, PA-C in Munster, IN - Medicare Physician Assistant

Ava Madison Ponto, PA-C is a medicare enrolled "Physician Assistant" in Munster, Indiana. Her current practice location is 9250 Columbia Ave Ste 2e, Munster, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 595-0043.

Ava Madison Ponto is licensed to practice in Indiana (license number 10003572A) 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 1255084257.

Contact Information

	Ava Madison Ponto, PA-C
	9250 Columbia Ave Ste 2e, Munster, IN 46321-3530
	(219) 595-0043
	Not Available

Provider's Profile

Full Name	Ava Madison Ponto
Gender	Female
Speciality	Physician Assistant
Location	9250 Columbia Ave Ste 2e, Munster, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255084257
Provider Enumeration Date: 01/31/2022
Last Update Date: 05/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2264810886
Enrollment ID: I20220609000974

Medical Identifiers

Medical identifiers for Ava Madison Ponto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255084257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	10003572A (Indiana)	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. Ava Madison Ponto 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
Ava Madison Ponto, PA-C 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043	Ava Madison Ponto, PA-C 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043

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Physician Assistant Nurses in Munster, IN

Eleanor Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600
Stefani Tica, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 Calumet Ave # 203, Munster, IN 46321 Phone: 219-228-4200
Darcy Winston, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600
Danielle Dominique Romero, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000
Amy Berghoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 730 45th Ave, Munster, IN 46321 Phone: 219-924-3300 Fax: 219-934-2658
Michael A Krzyskowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 730 45th St, Munster, IN 46321 Phone: 121-992-4330 Fax: 219-934-2658
Kelsey Dodd Morgan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10010 Donald S Powers Dr, Munster, IN 46321 Phone: 219-934-4200

Ava Madison Ponto, PA-C - Medicare Physician Assistant in Munster, IN