Mark S Penner, DO - Medicare Emergency Medicine in San Jose, CA

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Mark S Penner, DO is a medicare enrolled "Emergency Medicine" physician in San Jose, California. He went to Western University Of Health Sciences College Of Dental Med and graduated in 1994 and has 30 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Associates Fremont Pc, Emergency Physicians Associates San Jose Pc and his current practice location is 2105 Forest Ave, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 947-2500.

Mark S Penner is licensed to practice in California (license number 20A8037) 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 1689602500.

Contact Information

Mark S Penner, DO
2105 Forest Ave,
San Jose, CA 95128-1425
(408) 947-2500
(818) 587-2493

Map and Direction




Physician's Profile

Full NameMark S Penner
GenderMale
SpecialityEmergency Medicine
Experience30 Years
Location2105 Forest Ave, San Jose, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark S Penner attended and graduated from Western University Of Health Sciences College Of Dental Med in 1994
  NPI Data:
  • NPI Number: 1689602500
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022081025
  • Enrollment ID: I20040817001477

Medical Identifiers

Medical identifiers for Mark S Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689602500NPI-NPPES
00AX80370MedicaidCA
P00273019OtherCARAILROAD MEDICARE
020A80370OtherCABLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A8037 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Clara Valley Medical CenterSan jose, CAHospital
Washington HospitalFremont, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians Associates Fremont Pc852730358526
Emergency Physicians Associates San Jose Pc892134429294

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. Mark S Penner allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameEmergency Physicians Associates Overhead Operating Account Dennis Belo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013969153
PECOS PAC ID: 0547230708
Enrollment ID: O20040727000859
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276
Entity NameEmergency Physicians Associates Fremont Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790250967
PECOS PAC ID: 8527303585
Enrollment ID: O20181219000821
Entity NameEmergency Physicians Associates San Jose Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306311576
PECOS PAC ID: 8921344292
Enrollment ID: O20190107003386

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. Mark S Penner 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
Mark S Penner, DO
Po Box 4419,
Woodland Hills, CA 91365-4419

Ph: (888) 620-3100		Mark S Penner, DO
2105 Forest Ave,
San Jose, CA 95128-1425

Ph: (408) 947-2500

Reviews and Comments


Emergency Medicine Doctors in San Jose, CA

Anna Nguyen, DO
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Practice Location: 2105 Forest Ave, San Jose, CA 95128
Phone: 408-947-2500    
Shalin Hira Patel, M.D
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Practice Location: 225 N Jackson Ave, San Jose, CA 95116
Phone: 408-923-7121    
Tony Hue-dan Yuan, M.D
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Rhys Vincent Dapar, M.D
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Xiao Wang,
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Practice Location: 250 Hospital Pkwy, San Jose, CA 95119
Phone: 408-362-4740    
Thomas Gildea, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2105 Forest Ave, San Jose, CA 95128
Phone: 408-947-2500    
Jacob Benford, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 North Jackson Avenue, San Jose, CA 95116
Phone: 408-923-7121    

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.