Dr Robert Clark Pennell, PHD is a
Specialist based in Port Orange, Florida. Dr Robert Clark Pennell is licensed to practice in Florida (license number SW3855) and his current practice location is
3959 S Nova Rd, Suite 5, Port Orange, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 761-2390.
NPI number for Dr Robert Clark Pennell is 1538102959 and his current mailing address is 3959 S Nova Rd, Suite 5, Port Orange, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538102959.
Healthcare Provider's Profile
Full Name | Dr Robert Clark Pennell |
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Gender | Male |
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Speciality | Specialist |
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Location | 3959 S Nova Rd, Port Orange, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538102959
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert Clark Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538102959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | SW3855 (Florida) | Primary |
174400000X | Specialist | SW3855 (Florida) | 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. Dr Robert Clark Pennell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Robert Clark Pennell, PHD 3959 S Nova Rd, Suite 5, Port Orange, FL 32127-9278 Ph: (386) 761-2390 | Dr Robert Clark Pennell, PHD 3959 S Nova Rd, Suite 5, Port Orange, FL 32127-9278 Ph: (386) 761-2390 |
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