Jeffshan Sam Jose John Ponnarasu, PA is a medicare enrolled "Physician Assistant" in Cheraw, South Carolina. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Palmetto Family Medicine Of Chesterfield County Llc, Mcleod Health Cheraw and his current practice location is
316 2nd St, Cheraw, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 921-4851.
Jeffshan Sam Jose John Ponnarasu is licensed to practice in South Carolina (license number 5338) 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 1003677220.
Provider's Profile
| Full Name | Jeffshan Sam Jose John Ponnarasu |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 316 2nd St, Cheraw, South Carolina |
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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. |
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Medical Education and Training:
- Jeffshan Sam Jose John Ponnarasu graduated from nursing school in 2024
NPI Data:
- NPI Number: 1003677220
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234661711
- Enrollment ID: I20241022003616
Medical Identifiers
Medical identifiers for Jeffshan Sam Jose John Ponnarasu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003677220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5338 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Palmetto Family Medicine Of Chesterfield County Llc | 7012807860 | 4 |
| Mcleod Health Cheraw | 7911228259 | 56 |
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. Jeffshan Sam Jose John Ponnarasu 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 |
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Jeffshan Sam Jose John Ponnarasu, PA
709 Mall Blvd,
Savannah, GA 31406-4805
Ph: () - | Jeffshan Sam Jose John Ponnarasu, PA
316 2nd St,
Cheraw, SC 29520-2404
Ph: (843) 921-4851 |
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