Pon Ti Cruise, - Medicare Family Medicine in Athens, OH

  1. Home
  2. Family Medicine
  3. OH
  4. Athens
Pon Ti Cruise, is a medicare enrolled "Family Medicine" physician in Athens, Ohio. Her current practice location is 55 Hospital Dr, Athens, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 593-5991.

Pon Ti Cruise is licensed to practice in Ohio (license number 34.015970) 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 1770143141.

Contact Information

Pon Ti Cruise,
55 Hospital Dr,
Athens, OH 45701-2302
(740) 593-5991
Not Available

Map and Direction




Physician's Profile

Full NamePon Ti Cruise
GenderFemale
SpecialityFamily Medicine
Location55 Hospital Dr, Athens, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770143141
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 07/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678952215
  • Enrollment ID: I20220628001545

Medical Identifiers

Medical identifiers for Pon Ti Cruise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770143141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OT019100 (Pennsylvania)Secondary
207Q00000XFamily Medicine 34.015970 (Ohio)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. Pon Ti Cruise allows following entities to bill medicare on her behalf.
Entity NameOhio Valley Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962433177
PECOS PAC ID: 8729032966
Enrollment ID: O20050422000921

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. Pon Ti Cruise 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
Pon Ti Cruise,
121 Doctors Ln,
Clarion, PA 16214-8515

Ph: (814) 226-3494		Pon Ti Cruise,
55 Hospital Dr,
Athens, OH 45701-2302

Ph: (740) 593-5991

Reviews and Comments


Family Medicine Doctors in Athens, OH

Dr. Beryl R Fruth, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 510b W Union St, Athens, OH 45701
Phone: 740-593-7314    
Dr. Joseph Allen Holtel, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2 Health Center Dr, Athens, OH 45701
Phone: 740-593-1660    Fax: 740-593-0179
Dr. Tracy Lynne Shaub, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2nd Floor Parks Hall, Athens, OH 45701
Phone: 740-593-2516    Fax: 740-593-2905
Lara Householder,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 26 E Park Dr Ste 105c, Athens, OH 45701
Phone: 740-423-4015    
Krista M Duval, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Health Center Dr, Athens, OH 45701
Phone: 740-593-1660    Fax: 740-593-0179
Brooke Nicole Dorothy Smith,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 191 W Union St Ste 127, Athens, OH 45701
Phone: 740-592-7010    
Melinda E Ford, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24 W Green Dr Ste 246, Athens, OH 45701
Phone: 740-593-2516    Fax: 740-593-2905

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.