Jeremiah L Penrod, SMFT is a
Marriage & Family Therapist based in Nixa, Missouri. Jeremiah L Penrod is licensed to practice in * (Not Available) (license number ) and his current practice location is
560 W Mount Vernon St, Nixa, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 413-1593.
NPI number for Jeremiah L Penrod is 1568899805 and his current mailing address is 2108 W Vista St, Springfield, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568899805.
Healthcare Provider's Profile
Full Name | Jeremiah L Penrod |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 560 W Mount Vernon St, Nixa, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568899805
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 10/01/2013
Medical Identifiers
Medical identifiers for Jeremiah L Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568899805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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. Jeremiah L Penrod is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremiah L Penrod, SMFT 2108 W Vista St, Springfield, MO 65807-5918 Ph: (417) 597-4309 | Jeremiah L Penrod, SMFT 560 W Mount Vernon St, Nixa, MO 65714-9681 Ph: (417) 413-1593 |
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