| Dr Michael William Penney, MD | |
|
815 Pennsylvania Ave, Fort Worth, TX 76104-2294 | |
| (817) 321-0404 | |
| Not Available |
| Full Name | Dr Michael William Penney |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 815 Pennsylvania Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700812815 | NPI | - | NPPES |
| 208985002 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2004009990 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Lubbock, TX | Hospital |
| Texoma Medical Center | Denison, TX | Hospital |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crawford Andrews And Davis Ptr | 6507814084 | 39 |
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Crawford Andrews And Davis Ptr | 6507814084 | 39 |
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
| Entity Name | Miracl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20211018001401 |
| Entity Name | Crawford Andrews & Davis Ptr |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952325573 PECOS PAC ID: 6507814084 Enrollment ID: O20240803000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael William Penney, MD 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0404 | Dr Michael William Penney, MD 815 Pennsylvania Ave, Fort Worth, TX 76104-2294 Ph: (817) 321-0404 |
Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889 | |
Dr. Mark Sohner, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048 | |
Dr. John A Queralt, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Eugenia Payne, M.D Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 | |
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387 | |
Dr. Robert Lewis Emery, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 |