Miss Jody Lynn Pennycook, PA - Medicare Physician Assistant in Santa Rosa, CA

Miss Jody Lynn Pennycook, PA is a medicare enrolled "Physician Assistant - Medical" in Santa Rosa, California. Her current practice location is 4740 Hoen Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 542-2783.

Miss Jody Lynn Pennycook is licensed to practice in California (license number PA22225) 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 1255696910.

Contact Information

Miss Jody Lynn Pennycook, PA
4740 Hoen Ave,
Santa Rosa, CA 95405-7824
(707) 542-2783
(707) 542-7976

Map and Direction




Provider's Profile

Full NameMiss Jody Lynn Pennycook
GenderFemale
SpecialityPhysician Assistant - Medical
Location4740 Hoen Ave, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255696910
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 07/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8820249642
  • Enrollment ID: I20121102000513

Medical Identifiers

Medical identifiers for Miss Jody Lynn Pennycook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255696910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA22225 (California)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. Miss Jody Lynn Pennycook 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
Miss Jody Lynn Pennycook, PA
4740 Hoen Ave,
Santa Rosa, CA 95405-7824

Ph: (707) 542-2783
Miss Jody Lynn Pennycook, PA
4740 Hoen Ave,
Santa Rosa, CA 95405-7824

Ph: (707) 542-2783

Reviews and Comments


Physician Assistant Nurses in Santa Rosa, CA

Brittany Nichole Sweeney, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4729a Hoen Ave, Santa Rosa, CA 95405
Phone: 707-577-7800    Fax: 707-573-5360
Natalie R Marks, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 208 Concourse Blvd, Suite 1, Santa Rosa, CA 95403
Phone: 707-544-3400    Fax: 707-544-0137
Noelle Daly,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401
Phone: 707-521-4545    
Lupe Barbara Pacheco, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 751 Lombardi Ct Ste C, Santa Rosa, CA 95407
Phone: 707-547-2220    Fax: 707-547-2229
Helen B Maldonado, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 144 Stony Point Road, Santa Rosa, CA 95401
Phone: 707-521-4500    Fax: 707-544-4626
Samantha Ashley Stewart, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 949-381-4966    
Ms. Nina Ya Lai, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2725 Mendocino Ave, Santa Rosa, CA 95403
Phone: 707-545-4537    

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.