Dr Job B Pontillas, MD is a
Surgery physician based in Anna, Illinois. Dr Job B Pontillas is licensed to practice in Missouri (license number 33163) and his current practice location is 515 N Main St, Suite D, Anna, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 833-2872.
NPI number for Dr Job B Pontillas is 1417945577 and his current mailing address is 4000 Meridian Blvd, Attn: Debbie Brewer, Franklin, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417945577.
Physician's Profile
| Full Name | Dr Job B Pontillas |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 515 N Main St, Anna, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417945577
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 02/05/2009
Medical Identifiers
Medical identifiers for Dr Job B Pontillas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417945577 | NPI | - | NPPES |
| 31726018 | Other | MO | BCBS--SERVICING PROV. # |
| 20046928 | Medicaid | MO | |
| 036108884 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 33163 (Missouri) | 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. Dr Job B Pontillas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Job B Pontillas, MD
4000 Meridian Blvd, Attn: Debbie Brewer,
Franklin, TN 37067-6325
Ph: (615) 465-7000 | Dr Job B Pontillas, MD
515 N Main St, Suite D,
Anna, IL 62906-1668
Ph: (618) 833-2872 |
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