Craig S Pennell, OD is a medicare enrolled "Optometrist" provider in Independence, Kentucky. He went to Ohio State University - College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. His current practice location is
1824 Declaration Dr, Independence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 363-3347.
Craig S Pennell is licensed to practice in Kentucky (license number 1168DT) 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 1841351228.
Healthcare Provider's Profile
Full Name | Craig S Pennell |
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Gender | Male |
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Speciality | Optometry |
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Experience | 35 Years |
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Location | 1824 Declaration Dr, Independence, Kentucky |
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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:
- Craig S Pennell attended and graduated from Ohio State University - College Of Optometry in 1989
NPI Data:
- NPI Number: 1841351228
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 10/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 4183667223
- Enrollment ID: I20050614000007
Medical Identifiers
Medical identifiers for Craig S Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841351228 | NPI | - | NPPES |
0966101 | Other | KY | MEDICARE ID |
77011682 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1168DT (Kentucky) | 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. Craig S Pennell allows following entities to bill medicare on his behalf.
Provider Name | Family Eyehealth Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558485839 PECOS PAC ID: 2466495502 Enrollment ID: O20050609000019 |
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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. Craig S Pennell 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 |
Craig S Pennell, OD 1824 Declaration Dr, Independence, KY 41051-8196 Ph: (859) 363-3347 | Craig S Pennell, OD 1824 Declaration Dr, Independence, KY 41051-8432 Ph: (859) 363-3347 |
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