Dr Stephanie Jo Penchuk, PHYSICIAN is a
Pediatrics physician based in Smithfield, Rhode Island. Dr Stephanie Jo Penchuk is licensed to practice in Rhode Island (license number MD08739) and her current practice location is 41 Sanderson Rd Ste 202, Smithfield, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 231-3138.
NPI number for Dr Stephanie Jo Penchuk is 1063570224 and her current mailing address is 41 Sanderson Rd Ste 202, Smithfield, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063570224.
Physician's Profile
| Full Name | Dr Stephanie Jo Penchuk |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 41 Sanderson Rd Ste 202, Smithfield, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063570224
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Stephanie Jo Penchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063570224 | NPI | - | NPPES |
| 73004 | Other | MA | STATE LICENCE |
| SP40427 | Medicaid | RI | |
| MD08739 | Other | RI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD08739 (Rhode Island) | Primary |
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 Stephanie Jo Penchuk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephanie Jo Penchuk, PHYSICIAN
41 Sanderson Rd Ste 202,
Smithfield, RI 02917
Ph: (401) 231-3138 | Dr Stephanie Jo Penchuk, PHYSICIAN
41 Sanderson Rd Ste 202,
Smithfield, RI 02917-2603
Ph: (401) 231-3138 |
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