Dr Connie Jo Pennington, MD in Knoxville, TN - Medicare Colorectal Surgery (proctology)

Dr Connie Jo Pennington, MD is a medicare enrolled "Surgery" physician in Knoxville, Tennessee. She went to Eastern Virginia Medical School and graduated in 1995 and has 31 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Blue Ridge Medical Management Corporation and her current practice location is 800 S Gay St Ste 100, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 534-9029.

Dr Connie Jo Pennington is licensed to practice in Tennessee (license number 30358) 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 1790783330.

Contact Information

	Dr Connie Jo Pennington, MD
	800 S Gay St Ste 100, Knoxville, TN 37929-4040
	(423) 534-9029
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Connie Jo Pennington
Gender	Female
Speciality	Colorectal Surgery (proctology)
Experience	31 Years
Location	800 S Gay St Ste 100, Knoxville, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Connie Jo Pennington attended and graduated from Eastern Virginia Medical School in 1995

NPI Data:

NPI Number: 1790783330
Provider Enumeration Date: 07/08/2005
Last Update Date: 02/12/2026

Medicare PECOS Information:

PECOS PAC ID: 2466538111
Enrollment ID: I20080321000146

Medical Identifiers

Medical identifiers for Dr Connie Jo Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790783330	NPI	-	NPPES
3875906	Medicaid	TN
3370584	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	30358 (Tennessee)	Primary
174400000X	Specialist	MD0000030358 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Johnson city, TN	Home health agency
Johnson City Medical Center	Johnson city, TN	Hospital
Franklin Woods Community Hospital	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Medical Management Corporation	9739099441	306

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. Dr Connie Jo Pennington allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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. Dr Connie Jo 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
Dr Connie Jo Pennington, MD 1 Tallapoosa Rd, Johnson City, TN 37604-7187 Ph: (423) 534-9029	Dr Connie Jo Pennington, MD 800 S Gay St Ste 100, Knoxville, TN 37929-4040 Ph: (423) 534-9029

Reviews and Comments

Surgery Doctors in Knoxville, TN

Dr. Charles Stone Mitchell, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6408 Papermill Dr, Knoxville, TN 37919 Phone: 865-588-8229 Fax: 865-212-0163
Melissa Susan Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1934 Alcoa Hwy Ste D285, Knoxville, TN 37920 Phone: 865-305-9620 Fax: 865-525-3460
Dr. Trent Dennison Douglas, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 109 S Northshore Dr Ste 101, Knoxville, TN 37919 Phone: 865-450-9253
Laura M Enomoto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Ste 300, Knoxville, TN 37920 Phone: 865-544-9218 Fax: 865-305-8262
Hannah M. Nemec, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1932 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-251-4658
Sung Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1819 Clinch Ave Ste 200, Knoxville, TN 37916 Phone: 865-524-3659 Fax: 865-602-3528
Dr. Heath Richard Many, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9430 Park West Blvd Ste 310, Knoxville, TN 37923 Phone: 865-690-5263 Fax: 865-588-9740

Dr Connie Jo Pennington, MD - Medicare Colorectal Surgery (proctology) in Knoxville, TN