Sheila Ponzio, MD - Medicare Pediatrics in Williston, ND

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Sheila Ponzio, MD is a medicare enrolled "Pediatrics" physician in Williston, North Dakota. Her current practice location is 1301 15th Ave W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 774-7400.

Sheila Ponzio is licensed to practice in North Dakota (license number 12900) 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 1992742381.

Contact Information

Sheila Ponzio, MD
1301 15th Ave W,
Williston, ND 58801
(701) 774-7400
Not Available

Map and Direction




Physician's Profile

Full NameSheila Ponzio
GenderFemale
SpecialityPediatrics
Location1301 15th Ave W, Williston, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992742381
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 08/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7719145473
  • Enrollment ID: I20130905000042

Medical Identifiers

Medical identifiers for Sheila Ponzio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992742381NPI-NPPES
00G686710MedicaidCA
1450581MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G68671 (California)Secondary
208000000XPediatrics 12900 (North Dakota)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. Sheila Ponzio allows following entities to bill medicare on her behalf.
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336

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. Sheila Ponzio 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
Sheila Ponzio, MD
1301 15th Ave W,
Williston, ND 58801-3821

Ph: (701) 774-7400		Sheila Ponzio, MD
1301 15th Ave W,
Williston, ND 58801

Ph: (701) 774-7400

Reviews and Comments


Pediatrics Doctors in Williston, ND

Jane A Grorud, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W, Williston, ND 58801
Phone: 701-572-7651    Fax: 701-774-7479
Anton Mandrov, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 440-941-2840    

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.