Dr Willie A Pennick, MD in Jacksonville, FL

Dr Willie A Pennick, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. He went to University Of Florida College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is 1760 Edgewood Ave W, Suite B, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 358-8480.

Dr Willie A Pennick is licensed to practice in Florida (license number ME53419) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568426302.

Contact Information

	Dr Willie A Pennick, MD
	1760 Edgewood Ave W, Suite B, Jacksonville, FL 32208-7209
	(904) 358-8480
	(904) 358-8460

Map and Direction

Physician's Profile

Full Name	Dr Willie A Pennick
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	1760 Edgewood Ave W, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Willie A Pennick attended and graduated from University Of Florida College Of Medicine in 1985

NPI Data:

NPI Number: 1568426302
Provider Enumeration Date: 04/17/2006
Last Update Date: 07/02/2014

Medicare PECOS Information:

PECOS PAC ID: 2365471711
Enrollment ID: I20050806000017

Medical Identifiers

Medical identifiers for Dr Willie A Pennick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568426302	NPI	-	NPPES
062977400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME53419 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent's Riverside	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent's Ambulatory Care Inc	2860411188	275

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 Willie A Pennick allows following entities to bill medicare on his behalf.

Entity Name	St Vincent's Ambulatory Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430

Entity Name	St Vincents Physician Enterprise Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878486 PECOS PAC ID: 2668664962 Enrollment ID: O20101005000809

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 Willie A Pennick 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 Willie A Pennick, MD 1760 Edgewood Ave W, Suite B, Jacksonville, FL 32208-7209 Ph: (904) 358-8480	Dr Willie A Pennick, MD 1760 Edgewood Ave W, Suite B, Jacksonville, FL 32208-7209 Ph: (904) 358-8480

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846

Dr Willie A Pennick, MD - Medicare Family Practice in Jacksonville, FL