Carolin T Penrose, MD - Medicare Dermatology in Staten Island, NY

Carolin T Penrose, MD is a medicare enrolled "Dermatology" physician in Staten Island, New York. She went to New York Medical College and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. Her current practice location is 1110 South Ave, Suite 400, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 830-1415.

Carolin T Penrose is licensed to practice in New York (license number 245597) 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 1790946655.

Contact Information

Carolin T Penrose, MD
1110 South Ave, Suite 400,
Staten Island, NY 10314-3411
(917) 830-1415
(917) 830-1418

Map and Direction




Physician's Profile

Full NameCarolin T Penrose
GenderFemale
SpecialityDermatology
Experience18 Years
Location1110 South Ave, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolin T Penrose attended and graduated from New York Medical College in 2006
  NPI Data:
  • NPI Number: 1790946655
  • Provider Enumeration Date: 06/23/2008
  • Last Update Date: 06/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507038213
  • Enrollment ID: I20110930000225

Medical Identifiers

Medical identifiers for Carolin T Penrose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790946655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 245597 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Sinai HospitalNew york, NYHospital

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. Carolin T Penrose allows following entities to bill medicare on her behalf.
Entity NamePenrose Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346601333
PECOS PAC ID: 7315231289
Enrollment ID: O20160816001160

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. Carolin T Penrose 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 AddressPractice Location Address
Carolin T Penrose, MD
1110 South Ave, Suite 400,
Staten Island, NY 10314-3411

Ph: (917) 830-1415
Carolin T Penrose, MD
1110 South Ave, Suite 400,
Staten Island, NY 10314-3411

Ph: (917) 830-1415

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.