Phyllis A Pennington, DO - Medicare Family Practice in Canon City, CO

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Phyllis A Pennington, DO is a medicare enrolled "Family Medicine" physician in Canon City, Colorado. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is 1338 Phay Ave, Canon City, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 285-2700.

Phyllis A Pennington is licensed to practice in Colorado (license number 0052834) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720377740.

Contact Information

Phyllis A Pennington, DO
1338 Phay Ave,
Canon City, CO 81212-2311
(719) 285-2700
(719) 285-2975

Map and Direction




Physician's Profile

Full NamePhyllis A Pennington
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location1338 Phay Ave, Canon City, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phyllis A Pennington graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1720377740
  • Provider Enumeration Date: 03/30/2011
  • Last Update Date: 01/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133352727
  • Enrollment ID: I20170125002441

Medical Identifiers

Medical identifiers for Phyllis A Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720377740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DR.0052834 (Colorado)Secondary
207Q00000XFamily Medicine 0052834 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centura Health-st Thomas More HospitalCanon city, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342972

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. Phyllis A Pennington allows following entities to bill medicare on her behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

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. Phyllis A 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 AddressPractice Location Address
Phyllis A Pennington, DO
825 W 6th St,
Leadville, CO 80461-2205

Ph: (719) 486-1264		Phyllis A Pennington, DO
1338 Phay Ave,
Canon City, CO 81212-2311

Ph: (719) 285-2700

Reviews and Comments


Family Medicine Doctors in Canon City, CO

Ms. Diana Maria Clouthier, MSN, APRN, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 715 S 9th St, Canon City, CO 81212
Phone: 719-269-8820    
Vincent Takwing Yu, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1338 Phay Ave, Canon City, CO 81212
Phone: 719-285-2760    Fax: 719-285-2992
Robert Joseph Bennett Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 602 Yale Pl, Canon City, CO 81212
Phone: 719-275-2301    Fax: 719-275-7048
Dr. Ryan S Rahman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 712 Macon Ave, Canon City, CO 81212
Phone: 719-285-8890    
Kimberly Matz Gugliotto, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1338 Phay Ave, Canon City, CO 81212
Phone: 719-285-2000    
Dr. Robert D Mccurry, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1210 Main St, Canon City, CO 81212
Phone: 719-275-3000    Fax: 719-275-6939
Dr. Marcus A Button, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 S 9th St, Canon City, CO 81212
Phone: 719-269-8820    Fax: 719-204-0230

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.