Jerry L Pennington, DDS | |
497 Mall Rd, Oak Hill, WV 25901-6216 | |
(304) 574-2076 | |
(304) 574-1068 |
Full Name | Jerry L Pennington |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 497 Mall Rd, Oak Hill, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568655413 | NPI | - | NPPES |
3810009746 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2641 (West Virginia) | Primary |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1811983331 PECOS PAC ID: 2365348596 Enrollment ID: O20071009000136 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689220402 PECOS PAC ID: 2365348596 Enrollment ID: O20200310000780 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003301912 PECOS PAC ID: 2365348596 Enrollment ID: O20200602000032 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457846362 PECOS PAC ID: 2365348596 Enrollment ID: O20210805000743 |
Entity Name | New River Health Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386318756 PECOS PAC ID: 2365348596 Enrollment ID: O20210903001544 |
Mailing Address | Practice Location Address |
---|---|
Jerry L Pennington, DDS 497 Mall Rd, Oak Hill, WV 25901-6216 Ph: (304) 469-2905 | Jerry L Pennington, DDS 497 Mall Rd, Oak Hill, WV 25901-6216 Ph: (304) 574-2076 |
Mr. Steve Louis Vaynes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 927 E Main St, Oak Hill, WV 25901 Phone: 304-465-1300 | |
Dr. Travis Mckenzie Wills, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 96 Lamplighter St, Oak Hill, WV 25901 Phone: 304-469-4911 Fax: 304-469-4270 | |
Kara Vosler, D.DS Dentist Medicare: Medicare Enrolled Practice Location: 497 Mall Rd, Oak Hill, WV 25901 Phone: 304-877-7904 Fax: 304-877-7904 | |
Dr. Morgan Brett Hypes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia St, Oak Hill, WV 25901 Phone: 304-465-5361 | |
Dr. David M Hickman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2521 Summerlee Rd, Oak Hill, WV 25901 Phone: 304-465-8705 | |
Dr. Dean Caleb Paxton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3257 Summerlee Road, Oak Hill, WV 25901 Phone: 304-465-8705 Fax: 304-465-2163 |