Christine Marie Penicka, MS, RD, PA-C is a medicare enrolled "Physician Assistant" provider in Albany, New York. Her current practice location is
391 Myrtle Ave Ste 3a, Albany, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 262-5588.
Christine Marie Penicka is licensed to practice in * (Not Available) (license number ) 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 1629553995.
Healthcare Provider's Profile
Full Name | Christine Marie Penicka |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 391 Myrtle Ave Ste 3a, Albany, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629553995
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436499720
- Enrollment ID: I20220801001714
Medical Identifiers
Medical identifiers for Christine Marie Penicka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629553995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86101200 (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (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. Christine Marie Penicka 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 |
Christine Marie Penicka, MS, RD, PA-C 391 Myrtle Ave Ste 3a, Albany, NY 12208-3797 Ph: () - | Christine Marie Penicka, MS, RD, PA-C 391 Myrtle Ave Ste 3a, Albany, NY 12208-3797 Ph: (518) 262-5588 |
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