Dr Sam Pennise, DMD is a medicare enrolled "Dentist - General Practice" provider in Hammondsport, New York. His current practice location is
28 Mechanic St, Box 386, Hammondsport, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 569-2242.
Dr Sam Pennise is licensed to practice in New York (license number 033360) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104031335.
Healthcare Provider's Profile
Full Name | Dr Sam Pennise |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 28 Mechanic St, Hammondsport, New York |
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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: 1104031335
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 04/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 1658679451
- Enrollment ID: I20160412000527
Medical Identifiers
Medical identifiers for Dr Sam Pennise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104031335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 033360 (New York) | 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. Dr Sam Pennise 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 |
Dr Sam Pennise, DMD 28 Mechanic Street, Box 386, Hammondsport, NY 14840-0386 Ph: (607) 569-2242 | Dr Sam Pennise, DMD 28 Mechanic St, Box 386, Hammondsport, NY 14840 Ph: (607) 569-2242 |
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