| Ruby Pontello, ARNP | |
|
Po Box 555, Darien, GA 31305-0555 | |
| (850) 508-5930 | |
| Not Available |
| Full Name | Ruby Pontello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | Po Box 555, Darien, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538162185 | NPI | - | NPPES |
| 304495500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9184570 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | RN081670 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gateway Behavioral Health Services | 3173510237 | 34 |
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Gateway Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558478214 PECOS PAC ID: 3173510237 Enrollment ID: O20040429000700 |
| Entity Name | Coastal Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298751 PECOS PAC ID: 0345463683 Enrollment ID: O20140731001948 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Pontello, ARNP Po Box 555, Darien, GA 31305-0555 Ph: (850) 508-5930 | Ruby Pontello, ARNP Po Box 555, Darien, GA 31305-0555 Ph: (850) 508-5930 |
Natalie Amerson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1135 North Way, Ste E2, Darien, GA 31305 Phone: 912-437-2442 Fax: 912-480-0669 | |
Zhane Brianna Asare-kokou, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1022 Miller Ln Sw, Darien, GA 31305 Phone: 912-342-7846 | |
Thomas Brandeberry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1022 Miller Ln Sw, Darien, GA 31305 Phone: 912-466-5850 Fax: 912-437-3584 | |
Dorothy Nanette Manning, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 251, Darien, GA 31305 Phone: 912-437-6036 Fax: 912-437-3324 |