Mark W Penn, MD in La Mesa, CA - Medicare Family Medicine

Mark W Penn, MD is a medicare enrolled "Family Medicine" physician in La Mesa, California. His current practice location is 8080 Parkway Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (800) 528-5000.

Mark W Penn is licensed to practice in California (license number G131027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639205255.

Contact Information

	Mark W Penn, MD
	8080 Parkway Dr, La Mesa, CA 91942-2104
	(800) 528-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark W Penn
Gender	Male
Speciality	Family Medicine
Location	8080 Parkway Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639205255
Provider Enumeration Date: 02/26/2007
Last Update Date: 11/11/2015

Medicare PECOS Information:

PECOS PAC ID: 2163403445
Enrollment ID: I20151222001353

Medical Identifiers

Medical identifiers for Mark W Penn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639205255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036085370 (Illinois)	Secondary
207Q00000X	Family Medicine	G131027 (California)	Primary

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. Mark W Penn allows following entities to bill medicare on his behalf.

Entity Name	Desert Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246

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. Mark W 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
Mark W Penn, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (800) 528-5000	Mark W Penn, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (800) 528-5000

Reviews and Comments

Family Medicine Doctors in La Mesa, CA

Dr. Michelle Cao, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy, Suite 105, La Mesa, CA 91942 Phone: 858-499-2600 Fax: 619-462-9625
Dr. Ashkan Abedini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-6899
Dr. Vinh Duc Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 Fax: 619-644-6899
Armdabi Chung, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10862 Calle Verde, La Mesa, CA 91941 Phone: 619-660-1826
Jungook Devin Shin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 800-290-5000 Fax: 800-290-5000
Joseph P Aiello, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-670-8028
Ms. Paula Leibham, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 200, La Mesa, CA 91942 Phone: 619-644-6569 Fax: 619-644-6526

Mark W Penn, MD - Medicare Family Medicine in La Mesa, CA