Kevin Matthew Pennycook, DO - Medicare Dermatology in Fort Myers, FL

  1. Home
  2. Dermatology
  3. FL
  4. Fort Myers
Kevin Matthew Pennycook, DO is a medicare enrolled "Dermatology" physician in Fort Myers, Florida. His current practice location is 3268 Forum Blvd Ste 201, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 232-1176.

Kevin Matthew Pennycook is licensed to practice in Florida (license number OS19718) 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 1922661040.

Contact Information

Kevin Matthew Pennycook, DO
3268 Forum Blvd Ste 201,
Fort Myers, FL 33905-5585
(239) 232-1176
(239) 244-9839

Map and Direction




Physician's Profile

Full NameKevin Matthew Pennycook
GenderMale
SpecialityDermatology
Location3268 Forum Blvd Ste 201, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922661040
  • Provider Enumeration Date: 04/15/2019
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901271816
  • Enrollment ID: I20230406001804

Medical Identifiers

Medical identifiers for Kevin Matthew Pennycook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922661040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology OS19718 (Florida)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. Kevin Matthew Pennycook allows following entities to bill medicare on his behalf.
Entity NameAqua Dermatology Of Florida, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538270335
PECOS PAC ID: 1153390414
Enrollment ID: O20041002000097

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. Kevin Matthew 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 AddressPractice Location Address
Kevin Matthew Pennycook, DO
900 Village Square Xing Ste 290,
Palm Beach Gardens, FL 33410-4552

Ph: () -		Kevin Matthew Pennycook, DO
3268 Forum Blvd Ste 201,
Fort Myers, FL 33905-5585

Ph: (239) 232-1176

Reviews and Comments


Dermatology Doctors in Fort Myers, FL

Thomas Joseph Singer, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 7310 College Pkwy, Fort Myers, FL 33907
Phone: 239-768-6100    
Michael Haiken, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8841 Cody Lee Rd, Fort Myers, FL 33912
Phone: 239-768-1400    Fax: 239-768-5736
Dr. Mary Frances Pilcher,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 14071 Metropolis Ave, Fort Myers, FL 33912
Phone: 239-694-7546    Fax: 239-694-1571
Shari L Skinner, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919
Phone: 239-936-5425    Fax: 239-936-5176
Dr. Jeffrey N Martin, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15620 New Hampshire Ct, Fort Myers, FL 33908
Phone: 239-768-2057    Fax: 239-768-2133
Dr. Steven C Bernstein, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 12580 University Dr, Suite 200, Fort Myers, FL 33907
Phone: 239-274-0005    Fax: 239-274-8185
Dr. Mark H. Kagen, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 7331 Gladiolus Drive, Fort Myers, FL 33908
Phone: 239-437-8810    Fax: 239-437-8875

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.