Jeffshan Sam Jose John Ponnarasu, PA - Medicare Physician Assistant in Cheraw, SC

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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 2 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.

Contact Information

Jeffshan Sam Jose John Ponnarasu, PA
316 2nd St,
Cheraw, SC 29520-2404
(843) 921-4851
Not Available

Map and Direction




Provider's Profile

Full NameJeffshan Sam Jose John Ponnarasu
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location316 2nd St, Cheraw, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1003677220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5338 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health CherawCheraw, SCHospital
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palmetto Family Medicine Of Chesterfield County Llc70128078604
Mcleod Health Cheraw791122825935

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. Jeffshan Sam Jose John Ponnarasu allows following entities to bill medicare on his behalf.
Entity NamePalmetto Family Medicine of Chesterfield County LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932291242
PECOS PAC ID: 7012807860
Enrollment ID: O20040317000184
Entity NameMcleod Health Cheraw
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275912974
PECOS PAC ID: 7911228259
Enrollment ID: O20151218002079

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 AddressPractice Location Address
Jeffshan Sam Jose John Ponnarasu, PA
709 Mall Blvd,
Savannah, GA 31406-4805

Ph: Not Available		Jeffshan Sam Jose John Ponnarasu, PA
316 2nd St,
Cheraw, SC 29520-2404

Ph: (843) 921-4851

Reviews and Comments


Physician Assistant Nurses in Cheraw, SC

Emily Leyrer Wall, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 316 2nd St, Cheraw, SC 29520
Phone: 843-921-4851    Fax: 843-921-4854

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.