Shirley A Penney, PA is a medicare enrolled "Physician Assistant" in St Ansgar, Iowa. Her current practice location is
140 W 4th St, St Ansgar, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 736-4401.
Shirley A Penney is licensed to practice in Iowa (license number 866) 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 1417049032.
Provider's Profile
Full Name | Shirley A Penney |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 140 W 4th St, St Ansgar, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417049032
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436285491
- Enrollment ID: I20100329000862
Medical Identifiers
Medical identifiers for Shirley A Penney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417049032 | NPI | - | NPPES |
10819 | Other | IA | WELLMARK |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 866 (Iowa) | 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. Shirley A Penney 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 |
Shirley A Penney, PA 621 S Illinois Ave, Suite 103, Mason City, IA 50401-5489 Ph: (641) 494-3041 | Shirley A Penney, PA 140 W 4th St, St Ansgar, IA 50472-0000 Ph: (641) 736-4401 |
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