John Penley, AT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in White Lake, Michigan. John Penley is licensed to practice in Michigan (license number 2601001645) and his current practice location is 1630 Bogie Lake Rd, White Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 474-0783.
NPI number for John Penley is 1326583170 and his current mailing address is Po Box 1356, Brighton, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326583170.
Physician's Profile
Full Name | John Penley |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 1630 Bogie Lake Rd, White Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326583170
- Provider Enumeration Date: 01/04/2017
- Last Update Date: 01/04/2017
Medical Identifiers
Medical identifiers for John Penley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326583170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2601001645 (Michigan) | 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. John Penley 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 |
John Penley, AT Po Box 1356, Brighton, MI 48116 Ph: (734) 474-0783 | John Penley, AT 1630 Bogie Lake Rd, White Lake, MI 48383 Ph: (734) 474-0783 |
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