Jennifer W Pennoyer, MD is a medicare enrolled "Dermatology" physician in Bloomfield, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Jennifer W Pennoyer Md Llc and her current practice location is
47 Jolley Dr, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 243-3020.
Jennifer W Pennoyer is licensed to practice in Connecticut (license number CT038483) 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 1982665725.
Physician's Profile
Full Name | Jennifer W Pennoyer |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 28 Years |
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Location | 47 Jolley Dr, Bloomfield, Connecticut |
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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:
- Jennifer W Pennoyer attended and graduated from University Of Connecticut School Of Medicine in 1996
NPI Data:
- NPI Number: 1982665725
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 12/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345215091
- Enrollment ID: I20040827000138
Medical Identifiers
Medical identifiers for Jennifer W Pennoyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982665725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | CT038483 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jennifer W Pennoyer Md Llc | 4789605023 | 4 |
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. Jennifer W Pennoyer allows following entities to bill medicare on her behalf.
Entity Name | Jennifer W Pennoyer Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841254653 PECOS PAC ID: 4789605023 Enrollment ID: O20051214000216 |
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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. Jennifer W Pennoyer 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 |
Jennifer W Pennoyer, MD 47 Jolley Dr, Bloomfield, CT 06002-3092 Ph: (860) 243-3020 | Jennifer W Pennoyer, MD 47 Jolley Dr, Bloomfield, CT 06002-3092 Ph: (860) 243-3020 |
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