Michael Pennock, MD in Beaver, PA

Michael Pennock, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Beaver, Pennsylvania. His current practice location is 1000 Dutch Ridge Rd, Beaver, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 773-7616.

Michael Pennock is licensed to practice in Pennsylvania (license number MD484504) 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 1154825057.

Contact Information

	Michael Pennock, MD
	1000 Dutch Ridge Rd, Beaver, PA 15009-9727
	(724) 773-7616
	(724) 773-4673

Map and Direction

Physician's Profile

Full Name	Michael Pennock
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	1000 Dutch Ridge Rd, Beaver, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154825057
Provider Enumeration Date: 03/23/2018
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7315287125
Enrollment ID: I20240709003663

Medical Identifiers

Medical identifiers for Michael Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154825057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	MD484504 (Pennsylvania)	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. Michael Pennock allows following entities to bill medicare on his behalf.

Entity Name	University Of Pittsburgh Cancer Institute Cancer Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811

Entity Name	Upmc/hvhs Cancer Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609843861 PECOS PAC ID: 8224022181 Enrollment ID: O20040413000957

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. Michael Pennock 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
Michael Pennock, MD 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 Ph: () -	Michael Pennock, MD 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 Ph: (724) 773-7616

Reviews and Comments

Radiology Doctors in Beaver, PA

Dr. Michael William Gabriele, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729
Dr. Nadeem Iqbal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729
Craig Cargill Trent, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729
Nimish H Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729
Dr. Lisa Violi Ross, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729
Dr. Joel Irwin Cossrow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4567 Fax: 724-728-9729

Michael Pennock, MD - Medicare Radiology in Beaver, PA