Douglas Pon, in Santa Clara, CA - Medicare Nurse Anesthetist, Certified Registered

Douglas Pon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Clara, California. His current practice location is 700 Lawrence Expy Fl 2, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-6020.

Douglas Pon is licensed to practice in California (license number 81349) 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 1225277866.

Contact Information

	Douglas Pon,
	700 Lawrence Expy Fl 2, Santa Clara, CA 95051-5173
	(408) 851-6020
	Not Available

Map and Direction

Provider's Profile

Full Name	Douglas Pon
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	700 Lawrence Expy Fl 2, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225277866
Provider Enumeration Date: 02/05/2009
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0648327866
Enrollment ID: I20090403000544

Medical Identifiers

Medical identifiers for Douglas Pon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225277866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	81349 (California)	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. Douglas Pon allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Maitran Consulting Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359

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. Douglas Pon 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
Douglas Pon, 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Douglas Pon, 700 Lawrence Expy Fl 2, Santa Clara, CA 95051-5173 Ph: (408) 851-6020

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Santa Clara, CA

Amanda Lynn Rae, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 410-591-3500
Miss Patricia Marie Melia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-231-7371
Ms. Sheau-ying Ding, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Sydnie Dong, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Ms. Karen Dianne Scates, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-236-5742
Valerie K Petty, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 559-448-4500
Mrs. Mary Jane Ngee Leung, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5530

Douglas Pon, - Medicare Nurse Anesthetist, Certified Registered in Santa Clara, CA