Gerald Melville Penn, MD, PHD is a medicare enrolled "Pathology - Dermatopathology" physician in Dublin, Ohio. His current practice location is
650 Shawan Falls Dr, Dublin, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 764-1711.
Gerald Melville Penn is licensed to practice in Ohio (license number 35027499) 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 1073598132.
Physician's Profile
Full Name | Gerald Melville Penn |
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Gender | Male |
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Speciality | Pathology - Dermatopathology |
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Location | 650 Shawan Falls Dr, Dublin, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073598132
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 03/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 0749345031
- Enrollment ID: I20090220000253
Medical Identifiers
Medical identifiers for Gerald Melville Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073598132 | NPI | - | NPPES |
1351 | Other | OH | RR MEDICARE GRP ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZD0900X | Pathology - Dermatopathology | 35027499 (Ohio) | 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. Gerald Melville Penn allows following entities to bill medicare on his behalf.
Entity Name | Affiliated Dermatology & Cosmetic Surgery Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932184090 PECOS PAC ID: 7012993777 Enrollment ID: O20040624001734 |
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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. Gerald Melville Penn 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 |
Gerald Melville Penn, MD, PHD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 | Gerald Melville Penn, MD, PHD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 |
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