Mrs Brandi Le Ann Pennington, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Mount Vernon, Ohio. Her current practice location is
1330 Coshocton Ave, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 393-9000.
Mrs Brandi Le Ann Pennington is licensed to practice in Ohio (license number APRN.CNP.023673) 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 1528534955.
Physician's Profile
Full Name | Mrs Brandi Le Ann Pennington |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
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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: 1528534955
- Provider Enumeration Date: 10/24/2018
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698019107
- Enrollment ID: I20181210001595
Medical Identifiers
Medical identifiers for Mrs Brandi Le Ann Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528534955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APRN.CNP.023673 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.023673 (Ohio) | 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. Mrs Brandi Le Ann Pennington allows following entities to bill medicare on her behalf.
Entity Name | Knox County General Health District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306818075 PECOS PAC ID: 8820078595 Enrollment ID: O20040722001116 |
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Entity Name | Knox Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
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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. Mrs Brandi Le Ann 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 |
Mrs Brandi Le Ann Pennington, CNP 1029 Walnut St, Coshocton, OH 43812-1765 Ph: (740) 294-9849 | Mrs Brandi Le Ann Pennington, CNP 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 Ph: (740) 393-9000 |
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