Dr Dominic Pennisi, MD in Lodi, CA - Medicare Internal Medicine

Dr Dominic Pennisi, MD is a medicare enrolled "Internal Medicine" physician in Lodi, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Gill Medical Associates Inc and his current practice location is 832 S Fairmont Ave, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 365-9331.

Dr Dominic Pennisi is licensed to practice in California (license number A175794) 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 1548703036.

Contact Information

	Dr Dominic Pennisi, MD
	832 S Fairmont Ave, Lodi, CA 95240-5117
	(209) 365-9331
	(209) 365-9359

Map and Direction

Physician's Profile

Full Name	Dr Dominic Pennisi
Gender	Male
Speciality	Internal Medicine
Experience	12 Years
Location	832 S Fairmont Ave, Lodi, California
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 Dominic Pennisi graduated from medical school in 2012

NPI Data:

NPI Number: 1548703036
Provider Enumeration Date: 12/01/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8224420666
Enrollment ID: I20220117000665

Medical Identifiers

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

Identifier	Type	State	Issuer
1548703036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A175794 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Medical Center Of Stockton	Stockton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gill Medical Associates Inc	9234539560	3

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 Dominic Pennisi allows following entities to bill medicare on his behalf.

Entity Name	Gill Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578149076 PECOS PAC ID: 9234539560 Enrollment ID: O20210608003117

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 Dominic 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 Dominic Pennisi, MD Po Box 1434, Lodi, CA 95241-1434 Ph: (209) 462-7277	Dr Dominic Pennisi, MD 832 S Fairmont Ave, Lodi, CA 95240-5117 Ph: (209) 365-9331

Reviews and Comments

Internal Medicine Doctors in Lodi, CA

Frank T Huang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109
Harpreet Singh Parmar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001
Dr. Ghaus M Malik, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12945 N Highway 88, Lodi, CA 95240 Phone: 209-334-3923 Fax: 209-334-3985
Dr. Than Soe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Mani Mahdyoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240 Phone: 209-366-2360 Fax: 209-366-2352
Shefali Dwarkanath Awatani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 Fax: 209-368-3121
Joseph Kevin Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001 Fax: 209-366-2024

Dr Dominic Pennisi, MD - Medicare Internal Medicine in Lodi, CA