Dr Charles Edward Pennix Iii, MD in Decatur, IL

Dr Charles Edward Pennix Iii, MD is a medicare enrolled "Emergency Medicine" physician in Decatur, Illinois. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Midwest Emergency Department Specialists Ltd and his current practice location is 1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 464-2973.

Dr Charles Edward Pennix Iii is licensed to practice in Illinois (license number 036.138462) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437447091.

Contact Information

	Dr Charles Edward Pennix Iii, MD
	1800 E Lake Shore Dr, Decatur, IL 62521-3810
	(217) 464-2973
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles Edward Pennix Iii
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	1800 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles Edward Pennix Iii graduated from medical school in 2011

NPI Data:

NPI Number: 1437447091
Provider Enumeration Date: 07/18/2011
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9638487739
Enrollment ID: I20151008002002

Medical Identifiers

Medical identifiers for Dr Charles Edward Pennix Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437447091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036.138462 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital
St Marys Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Emergency Department Specialists Ltd	5193627727	50

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 Charles Edward Pennix Iii allows following entities to bill medicare on his behalf.

Entity Name	Midwest Emergency Department Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845

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 Charles Edward Pennix Iii 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 Charles Edward Pennix Iii, MD 1207 Sidney St, Saint Louis, MO 63104-4312 Ph: (513) 254-6849	Dr Charles Edward Pennix Iii, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2973

Reviews and Comments

Emergency Medicine Doctors in Decatur, IL

Gabriel Munoz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000
Gerald A Snyder, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000
Terry Balagna, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000
Phillip Barnell, M.D., FAAFP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966
Dr. Edward Leon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Emergency Dept, Decatur, IL 62526 Phone: 217-876-3000
Koleen Barnell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966
Jose Reyes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966

Dr Charles Edward Pennix Iii, MD - Medicare Emergency Medicine in Decatur, IL