Dr Michele Lee Pennington, MD | |
817 Griffin Ave, Eastman, GA 31023-6718 | |
(478) 374-0020 | |
(478) 374-2937 |
Full Name | Dr Michele Lee Pennington |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 817 Griffin Ave, Eastman, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093793622 | NPI | - | NPPES |
0801975377 | Other | MI | RAILROAD MEDICARE |
0806346602 | Other | MI | BCBS |
166083196D | Medicaid | GA | |
202I082364 | Other | GA | MEDICARE (PTAN) |
1093793622 | Medicaid | MI | |
0806346602 | Other | MI | BCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301070192 (Michigan) | Secondary |
207Q00000X | Family Medicine | 063003 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houston Medical Center | Warner robins, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Afc Physicians Of Georgia Pc | 0345493375 | 8 |
Houston Hospitals Inc | 4284797580 | 24 |
Afc Physicians Of Georgia Urgent Care Pc | 9436554318 | 6 |
Entity Name | Houston Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
Entity Name | Afc Physicians Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982950671 PECOS PAC ID: 0345493375 Enrollment ID: O20121226000357 |
Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
Entity Name | Afc Physicians Of Georgia Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225617525 PECOS PAC ID: 9436554318 Enrollment ID: O20210817000399 |
Mailing Address | Practice Location Address |
---|---|
Dr Michele Lee Pennington, MD 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-0020 | Dr Michele Lee Pennington, MD 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-0020 |
Dr. John A Glenn Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-1310 Fax: 478-374-0302 | |
Dr. Blake E Milner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Griffin Ave, Eastman, GA 31023 Phone: 478-374-8998 Fax: 478-374-8525 | |
Stewart V Grizzard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1112 Plaza Ave Ste B, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 | |
Dr. Heather Tiffany Herrington, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 |