Charles Penn, is a medicare enrolled "Anesthesiology" physician in Whitewater, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice The Monroe Clinic, Inc. and his current practice location is
192 S Maple Ln, Whitewater, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(240) 620-5784.
Charles Penn is licensed to practice in Wisconsin (license number 68869-20) 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 1194189043.
Physician's Profile
| Full Name | Charles Penn |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 10 Years |
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| Location | 192 S Maple Ln, Whitewater, Wisconsin |
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| 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:
- Charles Penn attended and graduated from University Of Wisconsin School Of Medicine in 2016
NPI Data:
- NPI Number: 1194189043
- Provider Enumeration Date: 04/07/2016
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092066183
- Enrollment ID: I20200902002528
Medical Identifiers
Medical identifiers for Charles Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194189043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 68869-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Monroe Clinic, Inc. | 3072425495 | 169 |
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. Charles Penn allows following entities to bill medicare on his behalf.
| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
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| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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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. Charles Penn 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 |
Charles Penn, 192 S Maple Ln, Whitewater, WI 53190-3872 Ph: (240) 620-5784 | Charles Penn, 192 S Maple Ln, Whitewater, WI 53190-3872 Ph: (240) 620-5784 |
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