Dr Samuel Pennella Jr, MD - Medicare General Practice in Detroit, MI

Dr Samuel Pennella Jr, MD is a medicare enrolled "General Practice" physician in Detroit, Michigan. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as General Practice. His current practice location is 607 Shelby St Ste 700, Detroit, Michigan. 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 Michigan (license number 4301510893) 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 1124524038.

Contact Information

Dr Samuel Pennella Jr, MD
607 Shelby St Ste 700,
Detroit, MI 48226-3282
(908) 208-8926
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel Pennella Jr
GenderMale
SpecialityGeneral Practice
Experience12 Years
Location607 Shelby St Ste 700, Detroit, Michigan
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 Samuel Pennella Jr graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1124524038
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 05/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8123427267
  • Enrollment ID: I20260310001780

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 TPME2986 (Florida)Secondary
208D00000XGeneral Practice DR.0074417 (Colorado)Secondary
208D00000XGeneral Practice 4301510893 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medilodge Of FrankenmuthFrankenmuth, MINursing home

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
607 Shelby St Ste 700,
Detroit, MI 48226-3282

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.