Dr Penny Xuan Dupre, MD is a medicare enrolled "Pediatrics" physician in Grand Bay, Alabama. Her current practice location is
10075 Grand Bay Wilmer Rd S, Grand Bay, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 865-1852.
Dr Penny Xuan Dupre is licensed to practice in Louisiana (license number MD.203001) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417117664.
Physician's Profile
Full Name | Dr Penny Xuan Dupre |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 10075 Grand Bay Wilmer Rd S, Grand Bay, Alabama |
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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: 1417117664
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 12/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264673219
- Enrollment ID: I20151112000722
Medical Identifiers
Medical identifiers for Dr Penny Xuan Dupre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417117664 | NPI | - | NPPES |
189689 | Medicaid | AL | |
189935 | Medicaid | AL | |
1087581 | Medicaid | LA | |
191317 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD.203001 (Louisiana) | 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 Penny Xuan Dupre allows following entities to bill medicare on her behalf.
Entity Name | Franklin Primary Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679532303 PECOS PAC ID: 1658356308 Enrollment ID: O20040618000827 |
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Entity Name | South Alabama Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811288038 PECOS PAC ID: 0345428363 Enrollment ID: O20110622000356 |
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Entity Name | Wilmer Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649667577 PECOS PAC ID: 4385954379 Enrollment ID: O20151103001918 |
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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 Penny Xuan Dupre 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 Penny Xuan Dupre, MD 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541-5003 Ph: (251) 865-1852 | Dr Penny Xuan Dupre, MD 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541-5003 Ph: (251) 865-1852 |
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