Brent Douglas Penhall, DO | |
106 Langtree Village Dr Ste 200, Mooresville, NC 28117 | |
(704) 384-7101 | |
(704) 384-7102 |
Full Name | Brent Douglas Penhall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 106 Langtree Village Dr Ste 200, Mooresville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346431806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2009-01914 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gentiva Health Services | Hickory, NC | Home health agency |
Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
Entity Name | Nh Digital Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
Mailing Address | Practice Location Address |
---|---|
Brent Douglas Penhall, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Brent Douglas Penhall, DO 106 Langtree Village Dr Ste 200, Mooresville, NC 28117 Ph: (704) 384-7101 |
Dr. Eva A Imperial, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 114 Gateway Blvd Ste B, Mooresville, NC 28117 Phone: 980-435-0409 | |
Alissandro Roque Castillo, MD, MBA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-662-3627 Fax: 704-662-3229 | |
Dr. Rebecca Mcelhannon Panuski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Bruce S Mather, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Craig Lincoln Anthony, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Amber Hicks-thibodeau, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 Phone: 704-658-0011 Fax: 704-658-0012 | |
Emily Marie Nabors, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 Professional Park Dr Ste 300, Mooresville, NC 28117 Phone: 704-696-2083 Fax: 704-924-7742 |