Mr Martin Amable Ponciano, RN, LMFT is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" provider in Santa Cruz, California. He graduated from healthcare school in 2011 and has 15 years of diverse experience with area of expertise as Marriage And Family Therapist. His current practice location is
2250 Soquel Ave, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at
(831) 600-2800.
Mr Martin Amable Ponciano is licensed to practice in California (license number 95259414) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245595529.
Healthcare Provider's Profile
| Full Name | Mr Martin Amable Ponciano |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 15 Years |
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| Location | 2250 Soquel Ave, Santa Cruz, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Martin Amable Ponciano graduated from medical school in 2011
NPI Data:
- NPI Number: 1245595529
- Provider Enumeration Date: 07/12/2012
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002387982
- Enrollment ID: I20260602003190
Medical Identifiers
Medical identifiers for Mr Martin Amable Ponciano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245595529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | MFC 96247 (California) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95259414 (California) | 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. Mr Martin Amable Ponciano 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 |
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Mr Martin Amable Ponciano, RN, LMFT
225 Main St # 945,
Watsonville, CA 95076-9998
Ph: (619) 274-1682 | Mr Martin Amable Ponciano, RN, LMFT
2250 Soquel Ave,
Santa Cruz, CA 95062-1402
Ph: (831) 600-2800 |
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