Alexandra Penney, RDN, LDN is a medicare enrolled "Physician Assistant" provider in Burlington, Massachusetts. Her current practice location is
41 Mall Rd, Burlington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 744-8000.
Alexandra Penney is licensed to practice in Massachusetts (license number PA9143) 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 1366842593.
Healthcare Provider's Profile
Full Name | Alexandra Penney |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 41 Mall Rd, Burlington, Massachusetts |
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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: 1366842593
- Provider Enumeration Date: 08/25/2014
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557637857
- Enrollment ID: I20230303000762
Medical Identifiers
Medical identifiers for Alexandra Penney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366842593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L004348 (North Carolina) | Secondary |
133V00000X | Dietitian, Registered | 3587 (Massachusetts) | Secondary |
363A00000X | Physician Assistant | PA9143 (Massachusetts) | 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. Alexandra Penney 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 |
Alexandra Penney, RDN, LDN 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 | Alexandra Penney, RDN, LDN 41 Mall Rd, Burlington, MA 01805-3308 Ph: (781) 744-8000 |
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