Mrs Vida Lynne Penn-leon, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Knoxville, Maryland. Her current practice location is
917 Hoffmaster Rd # Md, Knoxville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(888) 458-5199.
Mrs Vida Lynne Penn-leon is licensed to practice in Maryland (license number 10379) 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 1225150980.
Healthcare Provider's Profile
| Full Name | Mrs Vida Lynne Penn-leon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Location | 917 Hoffmaster Rd # Md, Knoxville, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Vida Lynne Penn-leon graduated from medical school in
NPI Data:
- NPI Number: 1225150980
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 02/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608243639
- Enrollment ID: I20231009002302
Medical Identifiers
Medical identifiers for Mrs Vida Lynne Penn-leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225150980 | NPI | - | NPPES |
| 10379 | Other | MD | LCSW-C |
| SWB-2024-0703 | Other | NM | LCSW-STATE LICENSE NM |
| 115112 | Other | TX | LCSW - TEXAS |
| 0904015550 | Other | VA | LICENSED CLINICAL SOCIAL WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 10379 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904015550 (Virginia) | Secondary |
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. Mrs Vida Lynne Penn-leon allows following entities to bill medicare on her behalf.
| Entity Name | Pivots Potential |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659097525 PECOS PAC ID: 5799152724 Enrollment ID: O20231009002108 |
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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. Mrs Vida Lynne Penn-leon 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 |
Mrs Vida Lynne Penn-leon, LCSW-C 1631 Wesel Blvd # 1047, Hagerstown, MD 21740-5387 Ph: (888) 458-5199 | Mrs Vida Lynne Penn-leon, LCSW-C 917 Hoffmaster Rd # Md, Knoxville, MD 21758-1216 Ph: (888) 458-5199 |
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