Mary Jane Pennington, MD in West Valley City, UT

Mary Jane Pennington, MD is a medicare enrolled "Pediatrics" physician in West Valley City, Utah. She went to Washington University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and her current practice location is 3725 W 4100 South, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 965-3600.

Mary Jane Pennington is licensed to practice in Utah (license number 1750881205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205868452.

Contact Information

	Mary Jane Pennington, MD
	3725 W 4100 South, West Valley City, UT 84120
	(801) 965-3600
	(801) 965-3526

Map and Direction

Physician's Profile

Full Name	Mary Jane Pennington
Gender	Female
Speciality	Pediatric Medicine
Experience	39 Years
Location	3725 W 4100 South, West Valley City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Jane Pennington attended and graduated from Washington University School Of Medicine in 1985

NPI Data:

NPI Number: 1205868452
Provider Enumeration Date: 07/07/2006
Last Update Date: 05/13/2013

Medicare PECOS Information:

PECOS PAC ID: 4486566619
Enrollment ID: I20061207000281

Medical Identifiers

Medical identifiers for Mary Jane Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205868452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1750881205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Granger Medical Clinic Pc	3476465691	115
Granger Medical Specialists Llc	4587074356	157

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. Mary Jane Pennington allows following entities to bill medicare on her behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

Entity Name	Granger Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207

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. Mary Jane Pennington 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
Mary Jane Pennington, MD 3725 W 4100 South, West Valley City, UT 84120 Ph: (801) 965-3600	Mary Jane Pennington, MD 3725 W 4100 South, West Valley City, UT 84120 Ph: (801) 965-3600

Reviews and Comments

Pediatrics Doctors in West Valley City, UT

Dr. Mary E Shapiro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200
Dr. Ryan K Frome, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3448
Dr. Julie I Wilkerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Alyson Eyre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
Dana C Ostermiller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600
Bruce Montgomerie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526

Mary Jane Pennington, MD - Medicare Pediatric Medicine in West Valley City, UT