Kaile Renee Pennock, is a
Case Manager/care Coordinator based in Escondido, California. Kaile Renee Pennock is licensed to practice in * (Not Available) (license number ) and her current practice location is
474 W Vermont Ave Ste 104, Escondido, California. She can be reached at her office (for appointments etc.) via phone at
(760) 432-9884.
NPI number for Kaile Renee Pennock is 1740932086 and her current mailing address is 9465 Farnham St, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740932086.
Healthcare Provider's Profile
| Full Name | Kaile Renee Pennock |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 474 W Vermont Ave Ste 104, Escondido, California |
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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: 1740932086
- Provider Enumeration Date: 01/18/2022
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Kaile Renee Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740932086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Kaile Renee Pennock 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 |
|---|
Kaile Renee Pennock,
9465 Farnham St,
San Diego, CA 92123-1308
Ph: () - | Kaile Renee Pennock,
474 W Vermont Ave Ste 104,
Escondido, CA 92025-6584
Ph: (760) 432-9884 |
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