Poonam Poonam, MD - Medicare Psychiatry & Neurology in Fort Myers, FL

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Poonam Poonam, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fort Myers, Florida. Her current practice location is 11215 Metro Pkwy Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 208-2212.

Poonam Poonam is licensed to practice in Florida (license number ME171316) 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 1427579259.

Contact Information

Poonam Poonam, MD
11215 Metro Pkwy Ste 100,
Fort Myers, FL 33966-1206
(239) 208-2212
(239) 208-3994

Map and Direction




Physician's Profile

Full NamePoonam Poonam
GenderFemale
SpecialityPsychiatry & Neurology - Neurology
Location11215 Metro Pkwy Ste 100, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427579259
  • Provider Enumeration Date: 07/01/2017
  • Last Update Date: 04/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507132339
  • Enrollment ID: I20241220002881

Medical Identifiers

Medical identifiers for Poonam Poonam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427579259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 272359 (Massachusetts)Secondary
2084N0400XPsychiatry & Neurology - Neurology TP578 (Kentucky)Secondary
2084N0400XPsychiatry & Neurology - Neurology 2024049374 (Missouri)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD223261 (Oregon)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD61627497 (Washington)Secondary
2084N0400XPsychiatry & Neurology - Neurology ME171316 (Florida)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. Poonam Poonam allows following entities to bill medicare on her behalf.
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942

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. Poonam Poonam 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
Poonam Poonam, MD
1665 Herlong Court, Ste B,
Rock Hill, SC 29732

Ph: (803) 366-6135		Poonam Poonam, MD
11215 Metro Pkwy Ste 100,
Fort Myers, FL 33966-1206

Ph: (239) 208-2212

Reviews and Comments


Psychiatry & Neurology Doctors in Fort Myers, FL

Stanley Garken Lue, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Phone: 239-208-2212    Fax: 239-208-3994
Felix Gabriel Rivera - Perez, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Phone: 239-208-2212    
Erica Rene Wilt, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966
Phone: 239-208-2206    
Ellie Frazey, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Phone: 239-208-2212    
Dr. Mark Adam Giordano, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907
Phone: 239-343-9180    Fax: 239-343-9188
Gustavo Silveira E Silva, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966
Phone: 239-208-2206    
Dr. Deepa Vaduthalakuzhy Luka, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908
Phone: 239-343-6050    Fax: 239-343-6051

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.