Robert Pennebaker, PMHNP-BC, LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Fayetteville, North Carolina. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Robert C Pennebaker Pllc and his current practice location is
2931 Breezewood Ave Ste 104, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 491-1134.
Robert Pennebaker is licensed to practice in North Carolina (license number 5005524) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609957505.
Healthcare Provider's Profile
| Full Name | Robert Pennebaker |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 2931 Breezewood Ave Ste 104, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert Pennebaker graduated from medical school in 2011
NPI Data:
- NPI Number: 1609957505
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 2567637184
- Enrollment ID: I20151029000414
Medical Identifiers
Medical identifiers for Robert Pennebaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609957505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C002032 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5005524 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Robert C Pennebaker Pllc | 3870802010 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robert Pennebaker allows following entities to bill medicare on his behalf.
| Entity Name | Robert C Pennebaker Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144657677
PECOS PAC ID: 3870802010
Enrollment ID: O20151029000171 |
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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. Robert Pennebaker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Robert Pennebaker, PMHNP-BC, LCSW
2931 Breezewood Ave Ste 104,
Fayetteville, NC 28303-5281
Ph: (910) 491-1134 | Robert Pennebaker, PMHNP-BC, LCSW
2931 Breezewood Ave Ste 104,
Fayetteville, NC 28303-5281
Ph: (910) 491-1134 |
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