Jackson W Penry, MD - Medicare Diagnostic Radiology in Mission Viejo, CA

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Jackson W Penry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mission Viejo, California. He went to Ohio State University College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice North County Radiology Associates Inc, Ihs Radiology Medical Group Inc, Beverly Radiology Medical Group Iii and his current practice location is 27700 Medical Center Road-radiology Department, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 364-7744.

Jackson W Penry is licensed to practice in California (license number A114302) 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 1003055401.

Contact Information

Jackson W Penry, MD
27700 Medical Center Road-radiology Department,
Mission Viejo, CA 92691-6426
(949) 364-7744
Not Available

Map and Direction




Physician's Profile

Full NameJackson W Penry
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location27700 Medical Center Road-radiology Department, Mission Viejo, California
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:
  • Jackson W Penry attended and graduated from Ohio State University College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1003055401
  • Provider Enumeration Date: 02/10/2009
  • Last Update Date: 07/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7517144298
  • Enrollment ID: I20110606000608

Medical Identifiers

Medical identifiers for Jackson W Penry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003055401NPI-NPPES
00A1143020OtherCABS/BC OF CA
1003055401MedicaidCA
0A1143020MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A114302 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Palomar Health Downtown CampusEscondido, CAHospital
Pomerado HospitalPoway, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North County Radiology Associates Inc084063020818
Ihs Radiology Medical Group Inc105262202465
Beverly Radiology Medical Group Iii3476466376307

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. Jackson W Penry allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameSan Diego Diagnostic Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417988221
PECOS PAC ID: 0143134353
Enrollment ID: O20031112000793
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameIhs Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497148456
PECOS PAC ID: 1052622024
Enrollment ID: O20150617000811
Entity NameNorth County Radiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417723024
PECOS PAC ID: 0840630208
Enrollment ID: O20240502000312

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. Jackson W Penry 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
Jackson W Penry, MD
Dept La 21789,
Pasadena, CA 91185-1789

Ph: (949) 263-8620		Jackson W Penry, MD
27700 Medical Center Road-radiology Department,
Mission Viejo, CA 92691-6426

Ph: (949) 364-7744

Reviews and Comments


Radiology Doctors in Mission Viejo, CA

Dr. Jimmy Ton, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691
Phone: 949-364-1400    
Dr. Asterios Tsimpas, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691
Phone: 949-388-7190    Fax: 949-388-7150
Dr. Ivan Babin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691
Phone: 949-364-1400    
Michael M Lock, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 27800 Medical Center Rd, Suite 160, Mission Viejo, CA 92691
Phone: 949-364-9120    Fax: 949-364-8465
Madhavan Krishnan, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 27725 Santa Margarita Pkwy, Ste 101, Mission Viejo, CA 92691
Phone: 949-462-3999    Fax: 949-462-3777
Stephen M Simon, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691
Phone: 949-364-7744    Fax: 949-364-4233

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.