| Dr David A Pennington, MD | |
|
800 Oak St, Farmville, VA 23901-1199 | |
| (434) 315-2401 | |
| Not Available |
| Full Name | Dr David A Pennington |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 800 Oak St, Farmville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609941582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 42731 (Arizona) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 5665828-1205 (Utah) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Entity Name | Rejuvinix Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710409529 PECOS PAC ID: 0345513537 Enrollment ID: O20170911001504 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Pennington, MD 2020 Silver Creek Rd Ste 206, Bullhead City, AZ 86442-8476 Ph: (928) 704-4327 | Dr David A Pennington, MD 800 Oak St, Farmville, VA 23901-1199 Ph: (434) 315-2401 |
Dr. Janelle Alvarez De Jesus, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 | |
Judith Lynn Chantelois, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-315-2950 Fax: 434-392-8272 | |
Mr. William Foster Hughes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 833 Buffalo St, Suite 200, Farmville, VA 23901 Phone: 434-392-8177 Fax: 434-392-8272 | |
Dr. Diane M Aslanis, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 110 4th St, Farmville, VA 23901 Phone: 434-392-9200 Fax: 877-694-6662 | |
Robert L Agee Iv, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8177 Fax: 434-392-8272 |