Dr Samuel Pennella Jr, MD - Medicare General Practice in Denver, CO

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Dr Samuel Pennella Jr, MD is a medicare enrolled "General Practice" physician in Denver, Colorado. His current practice location is 1905 N Sherman St Ste 200, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (908) 208-8926.

Dr Samuel Pennella Jr is licensed to practice in Colorado (license number DR.0074417) 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 1124524038.

Contact Information

Dr Samuel Pennella Jr, MD
1905 N Sherman St Ste 200,
Denver, CO 80203-1132
(908) 208-8926
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel Pennella Jr
GenderMale
SpecialityGeneral Practice
Location1905 N Sherman St Ste 200, Denver, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124524038
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 08/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123427267
  • Enrollment ID: I20240110000225

Medical Identifiers

Medical identifiers for Dr Samuel Pennella Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124524038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 68449 (Minnesota)Secondary
208D00000XGeneral Practice TW00059 (Kansas)Secondary
208D00000XGeneral Practice 4301510893 (Michigan)Secondary
208D00000XGeneral Practice TPME2986 (Florida)Secondary
208D00000XGeneral Practice DR.0074417 (Colorado)Primary

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 Samuel Pennella Jr allows following entities to bill medicare on his behalf.
Entity NameAustin Medical Associates X Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134995830
PECOS PAC ID: 8123477460
Enrollment ID: O20231212000644

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 Samuel Pennella Jr 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 Samuel Pennella Jr, MD
14 Glennon Farm Ln,
Lebanon, NJ 08833-4504

Ph: (908) 208-8926		Dr Samuel Pennella Jr, MD
1905 N Sherman St Ste 200,
Denver, CO 80203-1132

Ph: (908) 208-8926

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.