Edson Gerry Ponraj, MD - Medicare Emergency Medicine in Lakewood, WA

Edson Gerry Ponraj, MD is a medicare enrolled "Emergency Medicine" physician in Lakewood, Washington. His current practice location is 11315 Bridgeport Way Sw, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 589-8700.

Edson Gerry Ponraj is licensed to practice in Washington (license number MD00043988) 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 1396783940.

Contact Information

Edson Gerry Ponraj, MD
11315 Bridgeport Way Sw,
Lakewood, WA 98499-3004
(253) 589-8700
(253) 581-6588

Map and Direction




Physician's Profile

Full NameEdson Gerry Ponraj
GenderMale
SpecialityEmergency Medicine
Location11315 Bridgeport Way Sw, Lakewood, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396783940
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 03/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6103809413
  • Enrollment ID: I20040825001205

Medical Identifiers

Medical identifiers for Edson Gerry Ponraj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396783940NPI-NPPES
1186POOtherWABSWA
8400749MedicaidWA
0186779OtherWALIWA
0186778OtherWALIWA
2165POOtherWABSWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD00043988 (Washington)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. Edson Gerry Ponraj allows following entities to bill medicare on his behalf.
Entity NameNorthwest Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20041214000892

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. Edson Gerry Ponraj 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 AddressPractice Location Address
Edson Gerry Ponraj, MD
505 S 336th St, Suite 600,
Federal Way, WA 98003-6328

Ph: (253) 838-6180
Edson Gerry Ponraj, MD
11315 Bridgeport Way Sw,
Lakewood, WA 98499-3004

Ph: (253) 589-8700

Reviews and Comments


Emergency Medicine Doctors in Lakewood, WA

Kelly A Phillips, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499
Phone: 253-985-8700    
Mrs. Tiffany C Crabb, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499
Phone: 253-582-7257    Fax: 253-582-1617
Matthew M Rice, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-1711    Fax: 253-581-6588
James Bae Lee, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-1711    Fax: 253-944-7922
Sean Thomas Baxter, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-589-8700    Fax: 253-581-6588
Robert William Jensen, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-1711    Fax: 253-581-6588
Michael J Larson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-1711    Fax: 253-838-6418

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.