| Dr Michele Lee Pennington, MD | |
|
817 Griffin Ave, Eastman, GA 31023-6718 | |
| (478) 374-0020 | |
| (478) 374-2937 |
| Full Name | Dr Michele Lee Pennington |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 817 Griffin Ave, Eastman, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093793622 | NPI | - | NPPES |
| 0801975377 | Other | MI | RAILROAD MEDICARE |
| 0806346602 | Other | MI | BCBS |
| 166083196D | Medicaid | GA | |
| 202I082364 | Other | GA | MEDICARE (PTAN) |
| 1093793622 | Medicaid | MI | |
| 0806346602 | Other | MI | BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070192 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 063003 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Medical Center | Warner robins, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston Hospitals Inc | 4284797580 | 27 |
| Afc Physicians Of Georgia Urgent Care Pc | 9436554318 | 5 |
| Entity Name | Houston Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
| Entity Name | Afc Physicians Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982950671 PECOS PAC ID: 0345493375 Enrollment ID: O20121226000357 |
| Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
| Entity Name | Afc Physicians Of Georgia Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225617525 PECOS PAC ID: 9436554318 Enrollment ID: O20210817000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michele Lee Pennington, MD 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-0020 | Dr Michele Lee Pennington, MD 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-0020 |
Dr. John A Glenn Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-1310 Fax: 478-374-0302 | |
Dr. Blake E Milner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Griffin Ave, Eastman, GA 31023 Phone: 478-374-8998 Fax: 478-374-8525 | |
Stewart V Grizzard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1112 Plaza Ave Ste B, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 | |
Charity Rena Joiner, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 Indian Dr, Eastman, GA 31023 Phone: 478-354-4220 Fax: 478-354-4225 | |
Dr. Heather Tiffany Herrington, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 |