Mr Charles Royce Pennington, MD is a medicare enrolled "Family Medicine" physician in Dillard, Georgia. His current practice location is
92 Bettys Creek Rd, Dillard, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 746-6571.
Mr Charles Royce Pennington is licensed to practice in Georgia (license number 025380) 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 1669589594.
Physician's Profile
Full Name | Mr Charles Royce Pennington |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 92 Bettys Creek Rd, Dillard, Georgia |
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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:
- Mr Charles Royce Pennington attended and graduated from in
NPI Data:
- NPI Number: 1669589594
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 10/03/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Charles Royce Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669589594 | NPI | - | NPPES |
000649822A | Medicaid | GA | |
000273831G | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 025380 (Georgia) | 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. Mr Charles Royce Pennington 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 |
Mr Charles Royce Pennington, MD Po Box 444, Dillard, GA 30537-0444 Ph: (706) 746-6571 | Mr Charles Royce Pennington, MD 92 Bettys Creek Rd, Dillard, GA 30537-2257 Ph: (706) 746-6571 |
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