Ms Roberta (m) Ponemon, PA is a
Physician Assistant based in Albany,, New York. Ms Roberta (m) Ponemon is licensed to practice in New York (license number 001586) and her current practice location is
47 New Scotland Ave, Albany,, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 262-4317.
NPI number for Ms Roberta (m) Ponemon is 1649497082 and her current mailing address is 143 Orchard St, Delmar, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649497082.
Provider's Profile
| Full Name | Ms Roberta (m) Ponemon |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 47 New Scotland Ave, Albany,, New York |
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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: 1649497082
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 05/27/2009
Medical Identifiers
Medical identifiers for Ms Roberta (m) Ponemon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649497082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 001586 (New York) | 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. Ms Roberta (m) Ponemon 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 |
|---|
Ms Roberta (m) Ponemon, PA
143 Orchard St,
Delmar, NY 12054
Ph: (518) 439-0517 | Ms Roberta (m) Ponemon, PA
47 New Scotland Ave,
Albany,, NY 12208
Ph: (518) 262-4317 |
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