Dr Michael Pennachio, MD is a medicare enrolled "Ophthalmology" physician in Leesburg, Florida. He went to University Of South Florida College Of Medicine and graduated in 1981 and has 45 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Central Florida Eye Specialists Pl and his current practice location is
640 S Lake St, Leesburg, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 728-1717.
Dr Michael Pennachio is licensed to practice in Florida (license number ME0045426) 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 1750312005.
Physician's Profile
| Full Name | Dr Michael Pennachio |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Experience | 45 Years |
|---|
| Location | 640 S Lake St, Leesburg, Florida |
|---|
| Accepts Medicare Assignments | Yes. 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 Michael Pennachio attended and graduated from University Of South Florida College Of Medicine in 1981
NPI Data:
- NPI Number: 1750312005
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 03/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 8921112673
- Enrollment ID: I20110221000656
Medical Identifiers
Medical identifiers for Dr Michael Pennachio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750312005 | NPI | - | NPPES |
| 4779733 003 | Other | | CIGNA |
| CC4829 | Other | FL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | ME0045426 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Florida Eye Specialists Pl | 8820184831 | 12 |
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 Michael Pennachio allows following entities to bill medicare on his behalf.
| Entity Name | Central Florida Eye Specialists Pl |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548259898
PECOS PAC ID: 8820184831
Enrollment ID: O20071022000315 |
|---|
| Entity Name | Michael Pennachio LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477092187
PECOS PAC ID: 0143597898
Enrollment ID: O20170530002442 |
|---|
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 Michael Pennachio 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 Michael Pennachio, MD
1100 S Grove St,
Eustis, FL 32726-5524
Ph: (352) 728-1717 | Dr Michael Pennachio, MD
640 S Lake St,
Leesburg, FL 34748-5927
Ph: (352) 728-1717 |
Reviews and Comments