Jennifer Anne Pennington, DO | |
4630 Vistula Rd, Mishawaka, IN 46544-4000 | |
(574) 647-1900 | |
(574) 254-7222 |
Full Name | Jennifer Anne Pennington |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 4630 Vistula Rd, Mishawaka, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114145687 | NPI | - | NPPES |
000000533533 | Other | IN | BCBS BMG SCHWARTZ-WIEKAMP |
200874950 | Medicaid | IN | |
P00734479 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02003207A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Elkhart General Hospital | Elkhart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Anne Pennington, DO 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Jennifer Anne Pennington, DO 4630 Vistula Rd, Mishawaka, IN 46544-4000 Ph: (574) 647-1900 |
Theodore R Neumann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545 Phone: 574-335-6580 | |
Dr. Josephine Schimizzi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1505 South Spring Street, Mishawaka, IN 46544 Phone: 574-255-0726 | |
Dale Dennis Deardorff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544 Phone: 574-247-3456 Fax: 574-247-3455 | |
Dr. Jack S. Bartoszek, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544 Phone: 574-252-3085 Fax: 574-252-5906 | |
Dr. Lawrence R Curry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 Fax: 574-258-4278 | |
Lynn Day, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5209 Breezewood Dr, Mishawaka, IN 46544 Phone: 574-255-2838 |