Paige Koenig Pennebacker, MD - Surgery in Bradenton, FL

Paige Koenig Pennebacker, MD is a Surgery physician based in Bradenton, Florida. Paige Koenig Pennebacker is licensed to practice in Florida (license number ME62365) and his current practice location is 315 75th St W, Bradenton, Florida. He can be reached at his office (for appointments etc.) via phone at (941) 761-0500.

NPI number for Paige Koenig Pennebacker is 1891784724 and his current mailing address is Po Box 14731, Bradenton, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891784724.

Contact Information

Paige Koenig Pennebacker, MD
315 75th St W,
Bradenton, FL 34209-3201
(941) 761-0500
(855) 521-2857

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Physician's Profile

Full NamePaige Koenig Pennebacker
GenderMale
SpecialitySurgery
Location315 75th St W, Bradenton, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891784724
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 10/03/2018

Medical Identifiers

Medical identifiers for Paige Koenig Pennebacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891784724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery ME62365 (Florida)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. Paige Koenig Pennebacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paige Koenig Pennebacker, MD
Po Box 14731,
Bradenton, FL 34280-4731

Ph: (941) 761-0500
Paige Koenig Pennebacker, MD
315 75th St W,
Bradenton, FL 34209-3201

Ph: (941) 761-0500

Reviews and Comments


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