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 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Fresno Imaging Center, Desert Advanced Imaging Medical Center, Modesto Advanced Diagnostic Imaging Medical Center, North County Radiology Associates Inc, Ihs Radiology Medical Group Inc, Beverly Radiology Medical Group Iii, Kern Radiology Medical Group Inc 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
Experience20 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
Palomar Medical Center PowayPoway, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fresno Imaging Center2466553128127
Desert Advanced Imaging Medical Center6406749613209
Modesto Advanced Diagnostic Imaging Medical Center185033673662
North County Radiology Associates Inc084063020816
Ihs Radiology Medical Group Inc105262202465
Beverly Radiology Medical Group Iii3476466376327
Kern Radiology Medical Group Inc721482646094

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 NameCedars-sinai Medical Care Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316984388
PECOS PAC ID: 0941106645
Enrollment ID: O20040202000464
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 NameKern Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700821972
PECOS PAC ID: 7214826460
Enrollment ID: O20040315000421
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
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 NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
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: Not Enrolled in Medicare
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
Khwaja Arsalaan Ahmed, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 17 Goldbriar Way, Mission Viejo, CA 92692
Phone: 949-900-6246    

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.

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