Mrs Penelope Mashburn, DO is a medicare enrolled "Surgery" physician in Tiffin, Ohio. She went to Nova Southeastern College Of Osteo Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Tenor Health Foundation Sharon, Llc and her current practice location is
27 St. Lawrence Dr., Suite203, Tiffin, Ohio. You can reach out to her office (for appointments etc.) via phone at
(305) 575-9978.
Mrs Penelope Mashburn is licensed to practice in Ohio (license number 34.011231) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154650117.
Physician's Profile
| Full Name | Mrs Penelope Mashburn |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 18 Years |
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| Location | 27 St. Lawrence Dr., Tiffin, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Penelope Mashburn attended and graduated from Nova Southeastern College Of Osteo Medicine in 2008
NPI Data:
- NPI Number: 1154650117
- Provider Enumeration Date: 12/21/2009
- Last Update Date: 09/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 4587882386
- Enrollment ID: I20250929004024
Medical Identifiers
Medical identifiers for Mrs Penelope Mashburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154650117 | NPI | - | NPPES |
| 0106134 | Medicaid | OH | |
| 34011231 | Other | OH | OHIO MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 34.011231 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | P12-00612 (New Jersey) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tenor Health Foundation Sharon, Llc | 7315461688 | 4 |
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. Mrs Penelope Mashburn 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 |
|---|
Mrs Penelope Mashburn, DO
2200 Jefferson Ave, 4th Floor,
Toledo, OH 43604-7101
Ph: () - | Mrs Penelope Mashburn, DO
27 St. Lawrence Dr., Suite203,
Tiffin, OH 44883
Ph: (305) 575-9978 |
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