Dr Michael Lenneville, MD is a medicare enrolled "Pediatrics" physician in Fogelsville, Pennsylvania. His current practice location is
1431 Nursery St Ste 102, Fogelsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 821-4920.
Dr Michael Lenneville is licensed to practice in Pennsylvania (license number MD483842) 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 1699213132.
Physician's Profile
Full Name | Dr Michael Lenneville |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1431 Nursery St Ste 102, Fogelsville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699213132
- Provider Enumeration Date: 02/04/2017
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810438728
- Enrollment ID: I20240919000099
Medical Identifiers
Medical identifiers for Dr Michael Lenneville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699213132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 31247 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208000000X | Pediatrics | MD483842 (Pennsylvania) | 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 Michael Lenneville allows following entities to bill medicare on his behalf.
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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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 Michael Lenneville 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 Michael Lenneville, MD 4076 Neely Road, Fort Wainwright, AK 99703 Ph: (907) 361-4835 | Dr Michael Lenneville, MD 1431 Nursery St Ste 102, Fogelsville, PA 18051-1612 Ph: (610) 821-4920 |
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