Chiara Elizabeth Ponko, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Mount Airy, Maryland. Her current practice location is
205 Center St Ste 100, Mount Airy, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 760-8840.
Chiara Elizabeth Ponko is licensed to practice in Maryland (license number 01666) 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 1720767213.
Healthcare Provider's Profile
Full Name | Chiara Elizabeth Ponko |
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Gender | Female |
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Speciality | Audiologist |
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Location | 205 Center St Ste 100, Mount Airy, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720767213
- Provider Enumeration Date: 07/13/2023
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901257229
- Enrollment ID: I20240110004080
Medical Identifiers
Medical identifiers for Chiara Elizabeth Ponko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720767213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 01666 (Maryland) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 2201001921 (Virginia) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 01666 (Maryland) | Secondary |
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. Chiara Elizabeth Ponko allows following entities to bill medicare on her behalf.
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
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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. Chiara Elizabeth Ponko 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 |
Chiara Elizabeth Ponko, AUD, CCC-A Po Box 412709, Boston, MA 02241-2709 Ph: (410) 760-8840 | Chiara Elizabeth Ponko, AUD, CCC-A 205 Center St Ste 100, Mount Airy, MD 21771-5498 Ph: (410) 760-8840 |
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