Dr Ismail S Penukonda, MD in Grapevine, TX

Dr Ismail S Penukonda, MD is a medicare enrolled "Family Medicine" physician in Grapevine, Texas. His current practice location is 3213 Brighton Cv, Grapevine, Texas. You can reach out to his office (for appointments etc.) via phone at (737) 786-5700.

Dr Ismail S Penukonda is licensed to practice in Louisiana (license number MD.204783) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710144993.

Contact Information

	Dr Ismail S Penukonda, MD
	3213 Brighton Cv, Grapevine, TX 76051-1101
	(737) 786-5700
	(817) 818-1805

Map and Direction

Physician's Profile

Full Name	Dr Ismail S Penukonda
Gender	Male
Speciality	Family Medicine
Location	3213 Brighton Cv, Grapevine, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710144993
Provider Enumeration Date: 05/16/2008
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5395986400
Enrollment ID: I20130731000737

Medical Identifiers

Medical identifiers for Dr Ismail S Penukonda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710144993	NPI	-	NPPES
06298	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD.204783 (Louisiana)	Primary

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 Ismail S Penukonda 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 Ismail S Penukonda, MD 3213 Brighton Cv, Grapevine, TX 76051-1101 Ph: (737) 786-5700	Dr Ismail S Penukonda, MD 3213 Brighton Cv, Grapevine, TX 76051-1101 Ph: (737) 786-5700

Reviews and Comments

Family Medicine Doctors in Grapevine, TX

Dongchul Paek, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 888-726-5116 Fax: 888-637-5197
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228
Orson P Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 972-539-6330 Fax: 972-539-3077
Dr. Saba Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Lancaster Dr Ste 107, Grapevine, TX 76051 Phone: 817-510-9645 Fax: 817-685-6047
Chad A Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524
April Long, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-374-9743
Eric R Futscher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668

Dr Ismail S Penukonda, MD - Medicare Family Medicine in Grapevine, TX