Mr Jacob Burnell Penhollow, FNP-BC - Nurse Practitioner in Bradford, PA

Mr Jacob Burnell Penhollow, FNP-BC is a Nurse Practitioner - Family based in Bradford, Pennsylvania. Mr Jacob Burnell Penhollow is licensed to practice in New York (license number 351530) and his current practice location is 116 Interstate Pkwy, Bradford, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (814) 362-8274.

NPI number for Mr Jacob Burnell Penhollow is 1285453936 and his current mailing address is 1160 Chili Ave Ste 200, Rochester, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285453936.

Contact Information

Mr Jacob Burnell Penhollow, FNP-BC
116 Interstate Pkwy,
Bradford, PA 16701-1036
(814) 362-8274
Not Available

Map and Direction




Provider's Profile

Full NameMr Jacob Burnell Penhollow
GenderMale
SpecialityNurse Practitioner - Family
Location116 Interstate Pkwy, Bradford, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285453936
  • Provider Enumeration Date: 10/09/2024
  • Last Update Date: 10/09/2024

Medical Identifiers

Medical identifiers for Mr Jacob Burnell Penhollow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285453936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 351530 (New York)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. Mr Jacob Burnell Penhollow 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
Mr Jacob Burnell Penhollow, FNP-BC
1160 Chili Ave Ste 200,
Rochester, NY 14624-3035

Ph: (585) 426-4990
Mr Jacob Burnell Penhollow, FNP-BC
116 Interstate Pkwy,
Bradford, PA 16701-1036

Ph: (814) 362-8274

Reviews and Comments


Nurse Practitioner Nurses in Bradford, PA

Darlene G Venezia Skaggs, MSN,NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 116 Interstate Pkwy, Bradford, PA 16701
Phone: 814-363-2716    Fax: 814-363-2713
Karen Marie Kline, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Campus Dr, Bradford, PA 16701
Phone: 814-362-6536    Fax: 814-817-2113
Andrew Davidson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 116 Interstate Pkwy, Bradford, PA 16701
Phone: 214-368-9600    
Mrs. Tammy Michelle Haley, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 70 1/2 Mechanic Street, Bradford, PA 16701
Phone: 814-368-6129    Fax: 814-368-6174
Michael Brewer, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Campus Dr, Bradford, PA 16701
Phone: 814-362-6535    
Ms. Karen Mcclain, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 116 Interstate Pkwy Ste 41, Bradford, PA 16701
Phone: 814-368-4143    

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.