Dr Jeffrey Robert Pentek, DPM is a medicare enrolled "Podiatrist - Sports Medicine" provider in Bainbridge Island, Washington. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Virginia Mason Medical Center and his current practice location is
1344 Wintergreen Ln Ne, Bainbridge Island, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 842-5632.
Dr Jeffrey Robert Pentek is licensed to practice in Washington (license number PO60560146) 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 1124383583.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Robert Pentek |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 12 Years |
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| Location | 1344 Wintergreen Ln Ne, Bainbridge Island, Washington |
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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. |
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Medical Education and Training:
- Dr Jeffrey Robert Pentek graduated from medical school in 2012
NPI Data:
- NPI Number: 1124383583
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 06/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 0749595668
- Enrollment ID: I20150820011110
Medical Identifiers
Medical identifiers for Dr Jeffrey Robert Pentek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124383583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0000X | Podiatrist - Sports Medicine | PO60560146 (Washington) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002464 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Virginia Mason Medical Center | 9830002617 | 834 |
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 Jeffrey Robert Pentek allows following entities to bill medicare on his behalf.
| Provider Name | Virginia Mason Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801851258
PECOS PAC ID: 9830002617
Enrollment ID: O20031107000383 |
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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 Jeffrey Robert Pentek 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 Jeffrey Robert Pentek, DPM
1344 Wintergreen Ln Ne,
Bainbridge Island, WA 98110-5118
Ph: (206) 842-5632 | Dr Jeffrey Robert Pentek, DPM
1344 Wintergreen Ln Ne,
Bainbridge Island, WA 98110
Ph: (206) 842-5632 |
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