Mrs Andrea Michelle Penix, MS, RD, LD is a 
Dietitian, Registered based in Temple Terrace, Florida. Mrs Andrea Michelle Penix is licensed to practice in Florida (license number 11855) and her current practice location is 
12662 Telecom Dr, Temple Terrace, Florida. She can be reached at her office (for appointments etc.) via phone at 
(706) 614-9119.
NPI number for Mrs Andrea Michelle Penix is 1205152444 and her current mailing address is 12662 Telecom Dr, Temple Terrace, Florida. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205152444.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mrs Andrea Michelle Penix | 
|---|
| Gender | Female | 
|---|
| Speciality | Dietitian, Registered | 
|---|
| Location | 12662 Telecom Dr, Temple Terrace, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1205152444
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 02/09/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Andrea Michelle Penix such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1205152444 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 133V00000X | Dietitian, Registered | LD003506 (Georgia) | Secondary | 
| 133V00000X | Dietitian, Registered | 11855 (Florida) | 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 Andrea Michelle Penix 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 | 
|---|
		| Mrs Andrea Michelle Penix, MS, RD, LD 12662 Telecom Dr,
 Temple Terrace, FL 33637-0935
 Ph: (706) 614-9119
 | Mrs Andrea Michelle Penix, MS, RD, LD 12662 Telecom Dr,
 Temple Terrace, FL 33637-0935
 Ph: (706) 614-9119
 | 
		
		 
Reviews and Comments