Mrs Andrea Michelle Penix, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Temple Terrace, Florida. Her current practice location is
12662 Telecom Dr, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at
(706) 614-9119.
Mrs Andrea Michelle Penix is licensed to practice in Florida (license number 11855) 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 1205152444.
Healthcare Provider's Profile
Full Name | Mrs Andrea Michelle Penix |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 12662 Telecom Dr, Temple Terrace, Florida |
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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: 1205152444
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 02/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719179175
- Enrollment ID: I20230221000215
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Andrea Michelle Penix allows following entities to bill medicare on her behalf.
Provider Name | Florida Kidney Physicians Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460 |
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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
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 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 |
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