Pennie Gunn Pavlisin, RN is a
Registered Nurse based in Lebanon, Illinois. Pennie Gunn Pavlisin is licensed to practice in Illinois (license number 041416715) and her current practice location is
1364 Lantern Lights Cir # 1364, Lebanon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(301) 801-6140.
NPI number for Pennie Gunn Pavlisin is 1275384836 and her current mailing address is 1364 Lantern Lights Cir # 1364, Lebanon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275384836.
Provider's Profile
Full Name | Pennie Gunn Pavlisin |
---|
Gender | Female |
---|
Speciality | Registered Nurse |
---|
Location | 1364 Lantern Lights Cir # 1364, Lebanon, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275384836
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Pennie Gunn Pavlisin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275384836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041416715 (Illinois) | 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. Pennie Gunn Pavlisin 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 Address | Practice Location Address |
Pennie Gunn Pavlisin, RN 1364 Lantern Lights Cir # 1364, Lebanon, IL 62254-1841 Ph: (301) 801-6140 | Pennie Gunn Pavlisin, RN 1364 Lantern Lights Cir # 1364, Lebanon, IL 62254-1841 Ph: (301) 801-6140 |
Reviews and Comments