David Penzo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bonifay, Florida. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Life Management Center Of Nw Fl, Inc. and his current practice location is
310 E Byrd Ave, Bonifay, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 547-5114.
David Penzo is licensed to practice in Florida (license number 23792) 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 1851116081.
Healthcare Provider's Profile
| Full Name | David Penzo |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 6 Years |
|---|
| Location | 310 E Byrd Ave, Bonifay, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- David Penzo graduated from medical school in 2020
NPI Data:
- NPI Number: 1851116081
- Provider Enumeration Date: 11/21/2024
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921528282
- Enrollment ID: I20250218001022
Medical Identifiers
Medical identifiers for David Penzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851116081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 23792 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Life Management Center Of Nw Fl, Inc. | 9739162371 | 16 |
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. David Penzo allows following entities to bill medicare on his behalf.
| Entity Name | Life Management Center Of Northwest Florida Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508854571
PECOS PAC ID: 9739162371
Enrollment ID: O20040612000387 |
|---|
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. David Penzo 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 |
|---|
David Penzo, LCSW
Po Box 772,
Defuniak Springs, FL 32435-0772
Ph: (850) 687-0569 | David Penzo, LCSW
310 E Byrd Ave,
Bonifay, FL 32425-3068
Ph: (850) 547-5114 |
Reviews and Comments