Dr Alfred John Pennisi, MD in Los Angeles, CA

Dr Alfred John Pennisi, MD is a medicare enrolled "Pediatrics" physician in Los Angeles, California. His current practice location is 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-9346.

Dr Alfred John Pennisi is licensed to practice in California (license number G21570) 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 1356444855.

Contact Information

	Dr Alfred John Pennisi, MD
	10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075
	(310) 825-9346
	(310) 206-4855

Map and Direction

Physician's Profile

Full Name	Dr Alfred John Pennisi
Gender	Male
Speciality	Pediatrics
Location	10833 Le Conte Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356444855
Provider Enumeration Date: 09/07/2006
Last Update Date: 04/09/2012

Medicare PECOS Information:

PECOS PAC ID: 5496978157
Enrollment ID: I20140527001341

Medical Identifiers

Medical identifiers for Dr Alfred John Pennisi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356444855	NPI	-	NPPES
GR0053510	Medicaid	CA
00G215700	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G21570 (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. Dr Alfred John Pennisi allows following entities to bill medicare on his behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

Entity Name	Queenscare Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093886251 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131

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. Dr Alfred John Pennisi 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
Dr Alfred John Pennisi, MD 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 Ph: (310) 825-9346	Dr Alfred John Pennisi, MD 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 Ph: (310) 825-9346

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Dr Alfred John Pennisi, MD - Medicare Pediatrics in Los Angeles, CA