Stacey Marie Penso, NP-C - Medicare Nurse Practitioner in Athens, GA

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Stacey Marie Penso, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Athens, Georgia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Cardiology Of Atlanta, Llc, Piedmont Athens Specialty Care Llc and her current practice location is 242 King Avenue, Suite 210, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 475-1700.

Stacey Marie Penso is licensed to practice in Georgia (license number RN192603) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346838364.

Contact Information

Stacey Marie Penso, NP-C
242 King Avenue, Suite 210,
Athens, GA 30606
(706) 475-1700
Not Available

Map and Direction




Provider's Profile

Full NameStacey Marie Penso
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location242 King Avenue, Athens, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Marie Penso graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1346838364
  • Provider Enumeration Date: 01/05/2021
  • Last Update Date: 04/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779983481
  • Enrollment ID: I20210617001838

Medical Identifiers

Medical identifiers for Stacey Marie Penso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346838364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN192603 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Athens Regional Medical CenterAthens, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Cardiology Of Atlanta, Llc0345321691405
Piedmont Athens Specialty Care Llc8820349772102

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. Stacey Marie Penso allows following entities to bill medicare on her behalf.
Entity NamePiedmont Cardiology Of Atlanta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153
Entity NamePiedmont Athens Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184130627
PECOS PAC ID: 8820349772
Enrollment ID: O20180917001273

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. Stacey Marie Penso 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 AddressPractice Location Address
Stacey Marie Penso, NP-C
242 King Ave., Suite 210,
Athens, GA 30606

Ph: () -		Stacey Marie Penso, NP-C
242 King Avenue, Suite 210,
Athens, GA 30606

Ph: (706) 475-1700

Reviews and Comments


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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.