Miss Penny Ann West, APRN is a medicare enrolled "Family Medicine - Geriatric Medicine" in Live Oak, Florida. Her current practice location is
10676 Marvin Jones Blvd, Live Oak, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 658-5582.
Miss Penny Ann West is licensed to practice in Florida (license number APRN11020708) 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 1467199513.
Provider's Profile
| Full Name | Miss Penny Ann West |
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| Gender | Female |
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| Speciality | Family Medicine - Geriatric Medicine |
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| Location | 10676 Marvin Jones Blvd, Live Oak, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467199513
- Provider Enumeration Date: 05/18/2022
- Last Update Date: 07/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204202039
- Enrollment ID: I20221019003491
Medical Identifiers
Medical identifiers for Miss Penny Ann West such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467199513 | NPI | - | NPPES |
| 1467199513 | Medicaid | FL | |
| APRN11020708 | Other | FL | APRN LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0600X | Registered Nurse - Gerontology | RN9357132 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11020708 (Florida) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | APRN11020708 (Florida) | 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. Miss Penny Ann West allows following entities to bill medicare on her behalf.
| Entity Name | Acv Community Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174630693
PECOS PAC ID: 3476462078
Enrollment ID: O20040402000091 |
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| Entity Name | Andrews Healthcare Consulting |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013529635
PECOS PAC ID: 5092132761
Enrollment ID: O20200826000961 |
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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. Miss Penny Ann West 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 |
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Miss Penny Ann West, APRN
14144 94th Trl,
Live Oak, FL 32060-6391
Ph: (386) 209-7728 | Miss Penny Ann West, APRN
10676 Marvin Jones Blvd,
Live Oak, FL 32064-8242
Ph: (386) 658-5582 |
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