Dr Penelope A Ewbank, MD is a medicare enrolled "Allergy & Immunology" physician in Peoria, Illinois. She went to Washington University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Springfield Clinic Llp and her current practice location is
6615 N Big Hollow Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 691-5200.
Dr Penelope A Ewbank is licensed to practice in Illinois (license number 036104932) 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 1558358911.
Physician's Profile
Full Name | Dr Penelope A Ewbank |
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Gender | Female |
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Speciality | Allergy/immunology |
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Experience | 28 Years |
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Location | 6615 N Big Hollow Rd, Peoria, Illinois |
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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. |
Medical Education and Training:
- Dr Penelope A Ewbank attended and graduated from Washington University School Of Medicine in 1996
NPI Data:
- NPI Number: 1558358911
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123121639
- Enrollment ID: I20110303000077
Medical Identifiers
Medical identifiers for Dr Penelope A Ewbank such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558358911 | NPI | - | NPPES |
036104932 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 036104932 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Springfield Clinic Llp | 0547166076 | 673 |
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 Penelope A Ewbank allows following entities to bill medicare on her behalf.
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
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Entity Name | Allergy & Asthma Of Illinois Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194712547 PECOS PAC ID: 5597868000 Enrollment ID: O20070321000070 |
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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 Penelope A Ewbank 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 Penelope A Ewbank, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Dr Penelope A Ewbank, MD 6615 N Big Hollow Rd, Peoria, IL 61615 Ph: (309) 691-5200 |
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