Miss Pennica Marie Mumford, BSN,MSN, RN - Registered Nurse in Savannah, GA

Miss Pennica Marie Mumford, BSN,MSN, RN is a Registered Nurse - General Practice based in Savannah, Georgia. Miss Pennica Marie Mumford is licensed to practice in Georgia (license number RN168735) and her current practice location is 1395 Eisenhower Dr, Savannah, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 656-4456.

NPI number for Miss Pennica Marie Mumford is 1205394822 and her current mailing address is 4113 Fenwick Village Dr, Savannah, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205394822.

Contact Information

Miss Pennica Marie Mumford, BSN,MSN, RN
1395 Eisenhower Dr,
Savannah, GA 31406-3901
(912) 656-4456
(912) 721-0121

Map and Direction




Provider's Profile

Full NameMiss Pennica Marie Mumford
GenderFemale
SpecialityRegistered Nurse - General Practice
Location1395 Eisenhower Dr, Savannah, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205394822
  • Provider Enumeration Date: 03/04/2019
  • Last Update Date: 03/04/2019

Medical Identifiers

Medical identifiers for Miss Pennica Marie Mumford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205394822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA2000XRegistered Nurse - Administrator RN168735 (Georgia)Secondary
163WC0400XRegistered Nurse - Case Management RN168735 (Georgia)Secondary
163WC1600XRegistered Nurse - Continuing Education/staff Development RN168735 (Georgia)Secondary
163WG0600XRegistered Nurse - Gerontology RN168735 (Georgia)Secondary
163WI0500XRegistered Nurse - Infusion Therapy RN168735 (Georgia)Secondary
163WN1003XRegistered Nurse - Nutrition Support RN168735 (Georgia)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent RN168735 (Georgia)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult RN168735 (Georgia)Secondary
163WW0000XRegistered Nurse - Wound Care RN168735 (Georgia)Secondary
163WG0000XRegistered Nurse - General Practice RN168735 (Georgia)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 Pennica Marie Mumford 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
Miss Pennica Marie Mumford, BSN,MSN, RN
4113 Fenwick Village Dr,
Savannah, GA 31419-5513

Ph: (912) 844-6497
Miss Pennica Marie Mumford, BSN,MSN, RN
1395 Eisenhower Dr,
Savannah, GA 31406-3901

Ph: (912) 656-4456

Reviews and Comments


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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.

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