| Elliott John Penna, MD | |
|
14 Medical Park, Ste 350, Emergency Medicine Department, Columbia, SC 29203 | |
| (803) 434-3790 | |
| (803) 434-6299 |
| Full Name | Elliott John Penna |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 14 Medical Park, Ste 350, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225410970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A153882 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy San Juan Medical Center | Carmichael, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott John Penna, MD 14 Medical Park, Ste 350, Emergency Medicine Department, Columbia, SC 29203 Ph: (803) 434-3790 | Elliott John Penna, MD 14 Medical Park, Ste 350, Emergency Medicine Department, Columbia, SC 29203 Ph: (803) 434-3790 |
Daniel Elliott Baker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Michael Bullock, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203 Phone: 803-434-3790 | |
Erik Myhrer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 | |
William John Donohue Fraser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Emergency Medicine, 14 Medical Park, Ste 350, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Garrett Wade Snyder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Lori Cibik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3 Medical Park - Ste 350, Emergency Medicine Dept, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Dr. Jeffrey D Sarata, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3016 Longtown Commons Dr Ste 100, Columbia, SC 29229 Phone: 803-314-0500 |