Dr Eric A Pennock, MD is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" physician in Cranberry Twp, Pennsylvania. He went to Wright State University Boonshoft School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Pediatric Ophthalmology And Strabismus Inc and his current practice location is
124 Graham Park Dr., Cranberry Twp, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 772-3388.
Dr Eric A Pennock is licensed to practice in Pennsylvania (license number MD436979) 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 1760669949.
Physician's Profile
| Full Name | Dr Eric A Pennock |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 20 Years |
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| Location | 124 Graham Park Dr., Cranberry Twp, Pennsylvania |
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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. |
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Medical Education and Training:
- Dr Eric A Pennock attended and graduated from Wright State University Boonshoft School Of Medicine in 2004
NPI Data:
- NPI Number: 1760669949
- Provider Enumeration Date: 01/30/2008
- Last Update Date: 03/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456425057
- Enrollment ID: I20091023000027
Medical Identifiers
Medical identifiers for Dr Eric A Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760669949 | NPI | - | NPPES |
| 1023382110001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | MD436979 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | 01065165A (Indiana) | Secondary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | MD436979 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pediatric Ophthalmology And Strabismus Inc | 4688635204 | 3 |
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 Eric A Pennock allows following entities to bill medicare on his behalf.
| Entity Name | Pediatric Ophthalmology & Strabismus Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285665356
PECOS PAC ID: 4688635204
Enrollment ID: O20041026000654 |
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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. Dr Eric A Pennock 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 Eric A Pennock, MD
124 Graham Park Dr.,
Cranberry Twp, PA 16066
Ph: (724) 772-3388 | Dr Eric A Pennock, MD
124 Graham Park Dr.,
Cranberry Twp, PA 16066
Ph: (724) 772-3388 |
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