Active NPI
Arlenne Jeanette Ponce Mendez, M.D.
- Internal Medicine Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME136481
- Practice address
- 2420 Jenks Ave Ste B
Panama City, FL 32405-4909 - Phone
- (850) 770-3260
- Fax
- (850) 770-3225
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 19808 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 33086-R | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 32644-R | PR | |
| Internal Medicine Physician | 207R00000X | ME136481 | FL | Primary |
Addresses
Primary practice location
2420 Jenks Ave Ste B
Panama City, FL 32405-4909
Mailing address
PO Box 11407
Birmingham, AL 35246-1431
Phone (850) 770-3220
Other practice location 1
chalets de la fuente
apt # 301
carolina, PR 00987
Phone (787) 763-4149 ext. 1009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609213925 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 S Fort Harrison Ave
Suite C
Clearwater, FL 33756-3301
Phone (727) 393-3404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19808 | PR | MD | Student in an Organized Health Care Education/Training Program |
| 32644-R | PR | MD | Student in an Organized Health Care Education/Training Program |
| 33086-R | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Best Value Healthcare LLC | Internal Medicine | Current | Accepting new patients |
| Best Value Healthcare LLC | Internal Medicine | Past | Accepting new patients |
Locations
1305 S Fort Harrison Ave
Ste C
Clearwater, FL 33756
Phone (727) 483-9188
3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505
525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399
1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1790152015
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Internal Medicine Physician
- North Fort Myers, FL
- NPI 1619542446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1609213925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352461431",
"telephone_number": "850-770-3220",
"fax_number": "850-770-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 JENKS AVE STE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054909",
"telephone_number": "850-770-3260",
"fax_number": "850-770-3225"
}
],
"practiceLocations": [
{
"address_1": "chalets de la fuente",
"address_2": "apt # 301",
"address_purpose": "LOCATION",
"city": "carolina",
"state": "PR",
"postal_code": "00987",
"country_code": "US",
"telephone_number": "787-763-4149 x1009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONCE MENDEZ",
"first_name": "ARLENNE",
"middle_name": "JEANETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "19808",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "33086-R",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "32644-R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609213925",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.