Ms Emily G Pengelly, PA-C, MD - Medicare Physician Assistant in Santa Rosa, CA

Ms Emily G Pengelly, PA-C, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Santa Rosa, California. She went to University Of Nebraska College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice White River Family Practice Pc and her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 495-3732.

Ms Emily G Pengelly is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699072470.

Contact Information

Ms Emily G Pengelly, PA-C, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 495-3732
Not Available

Map and Direction




Provider's Profile

Full NameMs Emily G Pengelly
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Emily G Pengelly attended and graduated from University Of Nebraska College Of Medicine in 2010
  NPI Data:
  • NPI Number: 1699072470
  • Provider Enumeration Date: 02/14/2011
  • Last Update Date: 03/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547481699
  • Enrollment ID: I20220503001779

Medical Identifiers

Medical identifiers for Ms Emily G Pengelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699072470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White River Family Practice Pc39715613589

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. Ms Emily G Pengelly 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
Ms Emily G Pengelly, PA-C, MD
746 Pattrell Rd,
Norwich, VT 05055-9479

Ph: (210) 723-1843
Ms Emily G Pengelly, PA-C, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 495-3732

Reviews and Comments



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.