Mrs Brandi L Penatzer, PA is a medicare enrolled "Physician Assistant" physician in Johnstown, Pennsylvania. Her current practice location is
337 Somerset St, Johnstown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 534-4724.
Mrs Brandi L Penatzer is licensed to practice in Pennsylvania (license number MA052554) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285774042.
Physician's Profile
Full Name | Mrs Brandi L Penatzer |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 337 Somerset St, Johnstown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285774042
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 06/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032272992
- Enrollment ID: I20090120000573
Medical Identifiers
Medical identifiers for Mrs Brandi L Penatzer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285774042 | NPI | - | NPPES |
MA-052554 | Other | PA | LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | MA052554 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA052554 (Pennsylvania) | Primary |
174400000X | Specialist | MA-052554 (Pennsylvania) | Secondary |
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. Mrs Brandi L Penatzer 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 |
Mrs Brandi L Penatzer, PA 337 Somerset St, Johnstown, PA 15901-2541 Ph: (814) 534-4724 | Mrs Brandi L Penatzer, PA 337 Somerset St, Johnstown, PA 15901 Ph: (814) 534-4724 |
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