Mr Warren Larry Penrod, FNP, BC in South Bend, IN

Mr Warren Larry Penrod, FNP, BC is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pulaski Memorial Hospital and his current practice location is 333 W. Western Ave, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 299-4847.

Mr Warren Larry Penrod is licensed to practice in Indiana (license number 28135343A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851590269.

Contact Information

	Mr Warren Larry Penrod, FNP, BC
	333 W. Western Ave, South Bend, IN 46601
	(574) 299-4847
	(574) 299-9073

Map and Direction

Provider's Profile

Full Name	Mr Warren Larry Penrod
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	333 W. Western Ave, South Bend, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Warren Larry Penrod graduated from nursing school in 2007

NPI Data:

NPI Number: 1851590269
Provider Enumeration Date: 07/16/2007
Last Update Date: 06/03/2013

Medicare PECOS Information:

PECOS PAC ID: 5294966917
Enrollment ID: I20160831001392

Medical Identifiers

Medical identifiers for Mr Warren Larry Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851590269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28135343A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pulaski Memorial Hospital	Winamac, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pulaski Memorial Hospital	3173515509	30

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. Mr Warren Larry Penrod allows following entities to bill medicare on his behalf.

Entity Name	Pulaski Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740403419 PECOS PAC ID: 3173515509 Enrollment ID: O20040402000963

Entity Name	Pulaski Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1306928213 PECOS PAC ID: 3173515509 Enrollment ID: O20071214000021

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 Warren Larry Penrod 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
Mr Warren Larry Penrod, FNP, BC 333 W. Western Ave, South Bend, IN 46601 Ph: (574) 299-4847	Mr Warren Larry Penrod, FNP, BC 333 W. Western Ave, South Bend, IN 46601 Ph: (574) 299-4847

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Mr Warren Larry Penrod, FNP, BC - Medicare Nurse Practitioner in South Bend, IN