| Danny R Penick, MD | |
|
3801 S National Ave, Springfield, MO 65807-5210 | |
| (417) 269-0000 | |
| Not Available |
| Full Name | Danny R Penick |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 45 Years |
| Location | 3801 S National Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033153614 | NPI | - | NPPES |
| 202931028 | Medicaid | MO | |
| 107050 | Other | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | R9G70 (Missouri) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | R9G70 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Texas County Memorial Hospital | Houston, MO | Hospital |
| Ozarks Medical Center | West plains, MO | Hospital |
| Cox Monett Hospital | Monett, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cox-monett Hospital Inc | 0345236667 | 74 |
| Lester E Cox Medical Centers | 1254248917 | 298 |
| Skaggs Community Hospital Association | 5092624320 | 153 |
| Entity Name | Cox-monett Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669687125 PECOS PAC ID: 0345236667 Enrollment ID: O20040521000080 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346602646 PECOS PAC ID: 5092624320 Enrollment ID: O20160517000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Danny R Penick, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: () - | Danny R Penick, MD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-0000 |
Mr. Sujan Poudel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 | |
Dr. Mark H. Grimm, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Bradley D Wiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Dr. Anne Marsh Egbert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |