Mrs Ruth Penno, FNP-C, CDE in Phoenix, AZ - Medicare Nurse Practitioner

Mrs Ruth Penno, FNP-C, CDE is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 19829 N 27th Ave, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 879-1889.

Mrs Ruth Penno is licensed to practice in Arizona (license number AP3697) 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 1144521196.

Contact Information

	Mrs Ruth Penno, FNP-C, CDE
	19829 N 27th Ave, Phoenix, AZ 85027-4001
	(623) 879-1889
	(623) 879-5266

Map and Direction

Provider's Profile

Full Name	Mrs Ruth Penno
Gender	Female
Speciality	Nurse Practitioner - Family
Location	19829 N 27th Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144521196
Provider Enumeration Date: 11/08/2010
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5799966578
Enrollment ID: I20110228000301

Medical Identifiers

Medical identifiers for Mrs Ruth Penno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144521196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP3697 (Arizona)	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. Mrs Ruth Penno allows following entities to bill medicare on her behalf.

Entity Name	Honorhealth Ambulatory
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449

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. Mrs Ruth Penno 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
Mrs Ruth Penno, FNP-C, CDE Po Box 17779, Fountain Hills, AZ 85269-7779 Ph: (480) 789-7890	Mrs Ruth Penno, FNP-C, CDE 19829 N 27th Ave, Phoenix, AZ 85027-4001 Ph: (623) 879-1889

Reviews and Comments

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Mrs Ruth Penno, FNP-C, CDE - Medicare Nurse Practitioner in Phoenix, AZ