Alyssa Joy Penley, is a medicare enrolled "Social Worker - Clinical" provider in Spring Arbor, Michigan. Her current practice location is
328 E Main St, Spring Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 924-5438.
Alyssa Joy Penley is licensed to practice in Michigan (license number 6851105706) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336896521.
Healthcare Provider's Profile
| Full Name | Alyssa Joy Penley |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 328 E Main St, Spring Arbor, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1336896521
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446618250
- Enrollment ID: I20230626002156
Medical Identifiers
Medical identifiers for Alyssa Joy Penley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336896521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6851105706 (Michigan) | 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. Alyssa Joy Penley allows following entities to bill medicare on her behalf.
| Entity Name | Flourish Center For Cultivating Human Potential |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669920344
PECOS PAC ID: 2860776150
Enrollment ID: O20170306001182 |
|---|
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. Alyssa Joy Penley 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 |
|---|
Alyssa Joy Penley,
7780 Kookaburra Ct Apt 408,
Dexter, MI 48130-1582
Ph: () - | Alyssa Joy Penley,
328 E Main St,
Spring Arbor, MI 49283-9617
Ph: (248) 924-5438 |
Reviews and Comments