Keith Bradley Pennycook, DO in Cumming, GA

Keith Bradley Pennycook, DO is a medicare enrolled "Dermatology" physician in Cumming, Georgia. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Aqua Dermatology Of Georgia Pc and his current practice location is 2870 Ronald Reagan Blvd Ste 103, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (248) 601-4900.

Keith Bradley Pennycook is licensed to practice in Georgia (license number 86267) 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 1821651944.

Contact Information

	Keith Bradley Pennycook, DO
	2870 Ronald Reagan Blvd Ste 103, Cumming, GA 30041-6092
	(248) 601-4900
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Bradley Pennycook
Gender	Male
Speciality	Dermatology
Experience	7 Years
Location	2870 Ronald Reagan Blvd Ste 103, Cumming, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Bradley Pennycook attended and graduated from Michigan State University College Of Osteopathic Medicine in 2019

NPI Data:

NPI Number: 1821651944
Provider Enumeration Date: 04/15/2019
Last Update Date: 12/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2264886829
Enrollment ID: I20230929003289

Medical Identifiers

Medical identifiers for Keith Bradley Pennycook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821651944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	86267 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aqua Dermatology Of Georgia Pc	6800885757	49

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. Keith Bradley Pennycook allows following entities to bill medicare on his behalf.

Entity Name	Aqua Dermatology Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201

Entity Name	Goodman Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770801144 PECOS PAC ID: 7810029246 Enrollment ID: O20100720000586

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. Keith Bradley Pennycook 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
Keith Bradley Pennycook, DO 2870 Ronald Reagan Blvd Ste 103, Cumming, GA 30041-6092 Ph: () -	Keith Bradley Pennycook, DO 2870 Ronald Reagan Blvd Ste 103, Cumming, GA 30041-6092 Ph: (248) 601-4900

Reviews and Comments

Dermatology Doctors in Cumming, GA

Trisha N Daley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 960 Sanders Rd, Suite 300, Cumming, GA 30041 Phone: 770-205-0104 Fax: 770-205-0975
Avalon Regalbuto, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 515 Peachtree Pkwy Ste 602, Cumming, GA 30041 Phone: 470-977-2971 Fax: 470-273-7947
Dr. Alexander S Gross, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1505 Northside Blvd, Suite 1500, Cumming, GA 30041 Phone: 770-781-5077 Fax: 770-781-3915
Dr. Weston Thomas Waxweiler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Cumming, GA 30040 Phone: 770-800-3455 Fax: 770-284-8380
Mr. Horace A Saunders, P.A.-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1505 Northside Blvd., Suite 1500, Cumming, GA 30041 Phone: 770-781-5077 Fax: 770-781-3915
Dr. Nathan Jerome Cleaver, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Cumming, GA 30040 Phone: 770-800-3455 Fax: 770-800-3455

Keith Bradley Pennycook, DO - Medicare Dermatology in Cumming, GA