Dr Michelle Lundeen Pennie, MD is a medicare enrolled "Dermatology" physician in Englewood, Florida. She went to Emory University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Paradise Dermatology Llc and her current practice location is
900 Pine St, Ste 122-123, Englewood, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 474-8811.
Dr Michelle Lundeen Pennie is licensed to practice in Florida (license number ME108521) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497932784.
Physician's Profile
| Full Name | Dr Michelle Lundeen Pennie |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 19 Years |
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| Location | 900 Pine St, Englewood, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michelle Lundeen Pennie attended and graduated from Emory University School Of Medicine in 2005
NPI Data:
- NPI Number: 1497932784
- Provider Enumeration Date: 01/29/2008
- Last Update Date: 12/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 3072643345
- Enrollment ID: I20110808000668
Medical Identifiers
Medical identifiers for Dr Michelle Lundeen Pennie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497932784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 002099 (Georgia) | Secondary |
| 207N00000X | Dermatology | 2010011561 (Missouri) | Secondary |
| 207N00000X | Dermatology | ME108521 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Paradise Dermatology Llc | 9335594316 | 4 |
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 Michelle Lundeen Pennie allows following entities to bill medicare on her behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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| Entity Name | Paradise Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689361644
PECOS PAC ID: 9335594316
Enrollment ID: O20231011001397 |
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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 Michelle Lundeen Pennie 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 |
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Dr Michelle Lundeen Pennie, MD
900 Pine St, Ste 123,
Englewood, FL 34223-4418
Ph: (941) 474-8811 | Dr Michelle Lundeen Pennie, MD
900 Pine St, Ste 122-123,
Englewood, FL 34223-4418
Ph: (941) 474-8811 |
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