Dr Vincent Pennisi, MD in Stockton, CA - Medicare Internal Medicine

Dr Vincent Pennisi, MD is a medicare enrolled "Internal Medicine" physician in Stockton, California. His current practice location is 1503 E March Ln Ste A, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 747-3987.

Dr Vincent Pennisi is licensed to practice in California (license number A186288) 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 1306375662.

Contact Information

	Dr Vincent Pennisi, MD
	1503 E March Ln Ste A, Stockton, CA 95210-5622
	(209) 747-3987
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vincent Pennisi
Gender	Male
Speciality	Internal Medicine
Location	1503 E March Ln Ste A, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306375662
Provider Enumeration Date: 06/08/2017
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3971961350
Enrollment ID: I20230615003762

Medical Identifiers

Medical identifiers for Dr Vincent Pennisi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306375662	NPI	-	NPPES
PO1342	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A186288 (California)	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 Vincent Pennisi allows following entities to bill medicare on his behalf.

Entity Name	Gill Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578149076 PECOS PAC ID: 9234539560 Enrollment ID: O20210608003117

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 Vincent Pennisi 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 Vincent Pennisi, MD 1503 E March Ln Ste A, Stockton, CA 95210-5622 Ph: (209) 334-1800	Dr Vincent Pennisi, MD 1503 E March Ln Ste A, Stockton, CA 95210-5622 Ph: (209) 747-3987

Reviews and Comments

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Dr Vincent Pennisi, MD - Medicare Internal Medicine in Stockton, CA