Dr Jeremiah Jon Penn, MD in Bismarck, ND - Medicare Family Practice

Dr Jeremiah Jon Penn, MD is a medicare enrolled "Family Medicine" physician in Bismarck, North Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Innovis Health Llc and his current practice location is 401 N 9th St., Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 530-6000.

Dr Jeremiah Jon Penn is licensed to practice in North Dakota (license number 9448) 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 1043237522.

Contact Information

	Dr Jeremiah Jon Penn, MD
	401 N 9th St., Bismarck, ND 58501-4580
	(701) 530-6000
	(701) 530-6422

Map and Direction

Physician's Profile

Full Name	Dr Jeremiah Jon Penn
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	401 N 9th St., Bismarck, North Dakota
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 Jeremiah Jon Penn attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2002

NPI Data:

NPI Number: 1043237522
Provider Enumeration Date: 07/17/2006
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3375445778
Enrollment ID: I20040126000353

Medical Identifiers

Medical identifiers for Dr Jeremiah Jon Penn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043237522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9448 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

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 Jeremiah Jon Penn allows following entities to bill medicare on his behalf.

Entity Name	Mid Dakota Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275587826 PECOS PAC ID: 9638072895 Enrollment ID: O20040127001063

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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 Jeremiah Jon Penn 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 Jeremiah Jon Penn, MD 401 N 9th St, Bismarck, ND 58501-4530 Ph: (701) 530-6000	Dr Jeremiah Jon Penn, MD 401 N 9th St., Bismarck, ND 58501-4580 Ph: (701) 530-6000

Reviews and Comments

Family Medicine Doctors in Bismarck, ND

Gary Robert Betting, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Center For Family Medicine, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508
James B Bossort, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709
Haily Datz, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508
Monika Pothamsetti, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500
Olimpia Rauta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-8305
Dr. Todd W Schaffer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3318 N 14th St, Bismarck, ND 58503 Phone: 701-323-8300 Fax: 701-323-8305

Dr Jeremiah Jon Penn, MD - Medicare Family Practice in Bismarck, ND