Jillian Pona, is a
Nurse Practitioner - Family based in Daytona Beach Shores, Florida. Jillian Pona is licensed to practice in Florida (license number 11018303) and her current practice location is
2570 S Atlantic Ave, Daytona Beach Shores, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 872-5442.
NPI number for Jillian Pona is 1083363725 and her current mailing address is 3 Volunteer Ln, Ormond Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083363725.
Provider's Profile
| Full Name | Jillian Pona |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2570 S Atlantic Ave, Daytona Beach Shores, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083363725
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 05/06/2022
Medical Identifiers
Medical identifiers for Jillian Pona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083363725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 11018303 (Florida) | Primary |
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. Jillian Pona is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jillian Pona,
3 Volunteer Ln,
Ormond Beach, FL 32174-3070
Ph: () - | Jillian Pona,
2570 S Atlantic Ave,
Daytona Beach Shores, FL 32118-5523
Ph: (386) 872-5442 |
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