Joseph Coker Pongetti, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Huntsville, Alabama. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Leake Emergency Group, Llc and his current practice location is
3626 Memorial Pkwy Sw, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 715-7483.
Joseph Coker Pongetti is licensed to practice in Alabama (license number 54128) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912647595.
Physician's Profile
| Full Name | Joseph Coker Pongetti |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 4 Years |
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| Location | 3626 Memorial Pkwy Sw, Huntsville, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joseph Coker Pongetti graduated from medical school in 2022
NPI Data:
- NPI Number: 1912647595
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 06/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 0143685081
- Enrollment ID: I20241104000629
Medical Identifiers
Medical identifiers for Joseph Coker Pongetti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912647595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 33794 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 54128 (Alabama) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Mississippi) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Leake Emergency Group, Llc | 4486985256 | 16 |
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. Joseph Coker Pongetti allows following entities to bill medicare on his behalf.
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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| Entity Name | Leake Emergency Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
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| Entity Name | Grenada Emergency Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
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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. Joseph Coker Pongetti 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 |
Joseph Coker Pongetti, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000 | Joseph Coker Pongetti, 3626 Memorial Pkwy Sw, Huntsville, AL 35801-5320 Ph: (256) 715-7483 |
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