Look up the most recent NPI and PECOS records

Ninetta Marie Bond

Anesthesiology

Allopathic & Osteopathic Physicians

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000 (972) 233-1999

PECOS Enrollment

This provider is enrolled in PECOS as NINETTA BOND.

Based on the most recent information from CMS, provider Ninetta Marie Bond is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1144271040
Provider Type
Individual
Full Name
Bond, Ninetta Marie
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/15/2006
Last Updated
6/16/2022

Contact Information

Practice Location

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000

(972) 715-9976

Mailing Location

PO Box 840853, Dallas, TX 75284-0001

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License N2956 Texas
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 043170 Georgia

Provider Identifiers

ID	Description	Issuer
ID 8EY590	Description Other	Issuer BCBS Texas
ID 212712804	Description Medicaid	Issuer Unlisted Texas

Ninetta Marie Bond

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Stallard-Lugo, Stacey Anne

Gwosdz, James

Lowe, Mark Stuart

Matalon, Ralph

Higgins, Jennifer B.

Emmanuel, Michelle Ifuoma

Hoffman, William J.

Hussain, Asadullah

Paras, Dante M.

Mcneil, Ashley