Mr Charles Royce Pennington, MD is a medicare enrolled "Family Medicine" physician in Dillard, Georgia. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. 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 | Family Practice |
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Experience | 42 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 graduated from medical school in 1982
NPI Data:
- NPI Number: 1669589594
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 10/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759369135
- Enrollment ID: I20071130000073
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 |
Medical Facilities Affiliation
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. Mr Charles Royce Pennington allows following entities to bill medicare on his behalf.
Entity Name | Health First |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134316219 PECOS PAC ID: 7416035977 Enrollment ID: O20080710000363 |
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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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