Mrs Lydia Goodwin Pennock, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Craftsbury Common, Vermont. Her current practice location is
328 Urie Rd, Craftsbury Common, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 755-6780.
Mrs Lydia Goodwin Pennock is licensed to practice in Vermont (license number 068.0051665) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326559527.
Healthcare Provider's Profile
Full Name | Mrs Lydia Goodwin Pennock |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 328 Urie Rd, Craftsbury Common, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326559527
- Provider Enumeration Date: 10/16/2017
- Last Update Date: 11/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 7911341391
- Enrollment ID: I20240214001855
Medical Identifiers
Medical identifiers for Mrs Lydia Goodwin Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326559527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 068.0051665 (Vermont) | 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. Mrs Lydia Goodwin Pennock 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 |
Mrs Lydia Goodwin Pennock, LCMHC 328 Urie Rd, Craftsbury Common, VT 05827-9756 Ph: (802) 755-6780 | Mrs Lydia Goodwin Pennock, LCMHC 328 Urie Rd, Craftsbury Common, VT 05827-9756 Ph: (802) 755-6780 |
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