Bruce L Pennington, MD in Gallipolis, OH - Medicare Diagnostic Radiology

Bruce L Pennington, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gallipolis, Ohio. He went to University Of Kentucky College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Holzer Clinic Llc, Holzer Clinic Llc and his current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5289.

Bruce L Pennington is licensed to practice in Ohio (license number 35-06-0247) 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 1396785424.

Contact Information

	Bruce L Pennington, MD
	100 Jackson Pike, Gallipolis, OH 45631-1560
	(740) 446-5289
	(740) 446-5697

Map and Direction

Physician's Profile

Full Name	Bruce L Pennington
Gender	Male
Speciality	Diagnostic Radiology
Experience	38 Years
Location	100 Jackson Pike, Gallipolis, Ohio
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:

Bruce L Pennington attended and graduated from University Of Kentucky College Of Medicine in 1986

NPI Data:

NPI Number: 1396785424
Provider Enumeration Date: 06/07/2006
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 5193794964
Enrollment ID: I20040928001159

Medical Identifiers

Medical identifiers for Bruce L Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396785424	NPI	-	NPPES
0118365000	Medicaid	WV
000000007285	Other		ANTHEM BCBS
000000193002	Other	OH	UNISON MEDICAID
001714061	Other		MOUNTAIN STATE BCBS
0798650	Other	OH	MOLINA MEDICAID
300028175	Other		RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	16694 (West Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	35-06-0247 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holzer Medical Center	Gallipolis, OH	Hospital
Holzer Medical Center Jackson	Jackson, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holzer Clinic Llc	5890606008	268
Holzer Clinic Llc	5890606008	268

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. Bruce L Pennington allows following entities to bill medicare on his behalf.

Entity Name	Holzer Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20040517000510

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. Bruce L Pennington 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
Bruce L Pennington, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5289	Bruce L Pennington, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5289

Reviews and Comments

Radiology Doctors in Gallipolis, OH

Steven D. Conley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5697
Subhash Khosla, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 170 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5129 Fax: 740-446-5622
David B. Price, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697
Manual A. Casanova, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5709 Fax: 740-446-5697
Dr. Kevin M. Mccann, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532
Dean A. Siciliano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697

Bruce L Pennington, MD - Medicare Diagnostic Radiology in Gallipolis, OH