Dr Lawrence Charles Penvose, DO - Medicare Internal Medicine in Canton, OH

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Dr Lawrence Charles Penvose, DO is a medicare enrolled "Internal Medicine" physician in Canton, Ohio. His current practice location is 1445 Harrison Avenue Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 455-4531.

Dr Lawrence Charles Penvose is licensed to practice in Ohio (license number 34004573) 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 1437269347.

Contact Information

Dr Lawrence Charles Penvose, DO
1445 Harrison Avenue Nw,
Canton, OH 44708
(330) 455-4531
(330) 455-0119

Map and Direction




Physician's Profile

Full NameDr Lawrence Charles Penvose
GenderMale
SpecialityInternal Medicine
Location1445 Harrison Avenue Nw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437269347
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 01/30/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2668597410
  • Enrollment ID: I20100916000597

Medical Identifiers

Medical identifiers for Dr Lawrence Charles Penvose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437269347NPI-NPPES
0821267MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 34004573 (Ohio)Primary

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 Lawrence Charles Penvose 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 AddressPractice Location Address
Dr Lawrence Charles Penvose, DO
1445 Harrison Ave Nw Ste 105,
Canton, OH 44708-2634

Ph: (330) 455-4531		Dr Lawrence Charles Penvose, DO
1445 Harrison Avenue Nw,
Canton, OH 44708

Ph: (330) 455-4531

Reviews and Comments


Internal Medicine Doctors in Canton, OH

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Phone: 330-453-9993    Fax: 330-453-9996
Ramana Podugu, M.D.
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Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710
Phone: 330-454-8076    Fax: 330-454-3927

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.