Dr Anna M Pennino, OD is a medicare enrolled "Optometrist" provider in Playa Del Rey, California. She went to New England College Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. Her current practice location is
8511 Pershing Dr, Playa Del Rey, California. You can reach out to her office (for appointments etc.) via phone at
(310) 577-6401.
Dr Anna M Pennino is licensed to practice in California (license number 9996) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962495408.
Healthcare Provider's Profile
| Full Name | Dr Anna M Pennino |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 33 Years |
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| Location | 8511 Pershing Dr, Playa Del Rey, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anna M Pennino attended and graduated from New England College Of Optometry in 1991
NPI Data:
- NPI Number: 1962495408
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 07/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880770312
- Enrollment ID: I20090130000486
Medical Identifiers
Medical identifiers for Dr Anna M Pennino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962495408 | NPI | - | NPPES |
| SD0099960 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 9996 (California) | 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. Dr Anna M Pennino allows following entities to bill medicare on her behalf.
| Provider Name | South Gate Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154514370
PECOS PAC ID: 1759467384
Enrollment ID: O20080324000614 |
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| Provider Name | Anna M Pennino Od Optometric Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356589741
PECOS PAC ID: 2769546019
Enrollment ID: O20090130000496 |
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| Provider Name | Golden Ardaya & Lin Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962764340
PECOS PAC ID: 2961667399
Enrollment ID: O20120709000716 |
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| Provider Name | Monarch Bay Optometry, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710538343
PECOS PAC ID: 5193152510
Enrollment ID: O20200225001678 |
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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. Dr Anna M Pennino 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 |
|---|
Dr Anna M Pennino, OD
8511 Pershing Dr,
Playa Del Rey, CA 90293-8101
Ph: (562) 434-4829 | Dr Anna M Pennino, OD
8511 Pershing Dr,
Playa Del Rey, CA 90293-8101
Ph: (310) 577-6401 |
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