Dr Justin Michael Penny, DO - Medicare Family Practice in Minneapolis, MN

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Dr Justin Michael Penny, DO is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Allina Health System and his current practice location is 1221 W Lake St Ste 201, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 824-1772.

Dr Justin Michael Penny is licensed to practice in Minnesota (license number 64166) 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 1023541604.

Contact Information

Dr Justin Michael Penny, DO
1221 W Lake St Ste 201,
Minneapolis, MN 55408-3565
(612) 824-1772
(612) 821-4799

Map and Direction




Physician's Profile

Full NameDr Justin Michael Penny
GenderMale
SpecialityFamily Practice
Experience9 Years
Location1221 W Lake St Ste 201, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Justin Michael Penny graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1023541604
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496025124
  • Enrollment ID: I20200622001771

Medical Identifiers

Medical identifiers for Dr Justin Michael Penny such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023541604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64166 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133584

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 Justin Michael Penny allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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 Justin Michael Penny 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 AddressPractice Location Address
Dr Justin Michael Penny, DO
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000		Dr Justin Michael Penny, DO
1221 W Lake St Ste 201,
Minneapolis, MN 55408-3565

Ph: (612) 824-1772

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.