Daniel R Penn, MD in Santa Rosa, CA

Daniel R Penn, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Rosa, California. His current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 571-4000.

Daniel R Penn is licensed to practice in California (license number A82741) 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 1578647566.

Contact Information

	Daniel R Penn, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 571-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Daniel R Penn
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578647566
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 6204734783
Enrollment ID: I20031222000388

Medical Identifiers

Medical identifiers for Daniel R Penn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578647566	NPI	-	NPPES
00A827410	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A82741 (California)	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. Daniel R Penn allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Daniel R Penn 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
Daniel R Penn, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Daniel R Penn, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000

Reviews and Comments

Radiology Doctors in Santa Rosa, CA

Alan A. Larocque, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Daniel R Penn, MD - Medicare Radiology in Santa Rosa, CA