Penden Patti Mahautmr, MD in Albany, NY - Medicare Family Medicine

Penden Patti Mahautmr, MD is a medicare enrolled "Family Medicine" physician in Albany, New York. Her current practice location is 4 Palisades Dr Ste 100, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 446-9545.

Penden Patti Mahautmr is licensed to practice in New York (license number 297957) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326442542.

Contact Information

	Penden Patti Mahautmr, MD
	4 Palisades Dr Ste 100, Albany, NY 12205-1443
	(518) 446-9545
	(518) 446-9551

Map and Direction

Physician's Profile

Full Name	Penden Patti Mahautmr
Gender	Female
Speciality	Family Medicine
Location	4 Palisades Dr Ste 100, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326442542
Provider Enumeration Date: 10/17/2014
Last Update Date: 06/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6709180052
Enrollment ID: I20170718000107

Medical Identifiers

Medical identifiers for Penden Patti Mahautmr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326442542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	297957 (New York)	Secondary
207Q00000X	Family Medicine	297957 (New York)	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. Penden Patti Mahautmr allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

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. Penden Patti Mahautmr 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
Penden Patti Mahautmr, MD Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634	Penden Patti Mahautmr, MD 4 Palisades Dr Ste 100, Albany, NY 12205-1443 Ph: (518) 446-9545

Reviews and Comments

Family Medicine Doctors in Albany, NY

Kendra Ann Bushart, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 62 Hackett Blvd, Albany, NY 12209 Phone: 518-434-2244
Dr. Terrence Flannery, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Patroon Creek Blvd, Albany, NY 12206 Phone: 518-641-3217 Fax: 518-641-3209
Pascuala C Reyes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000
Dr. Lorelei A Michels, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Pine West Plz Ste 310, Albany, NY 12205 Phone: 518-763-3312 Fax: 838-625-5830
David A Robinson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, @ St. Peter's Hospital Er Dept., Albany, NY 12208 Phone: 518-525-1324 Fax: 518-383-4223
Dr. Peter Alexander Vellis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Washington Ave, Albany, NY 12222 Phone: 518-442-5461 Fax: 518-442-5444
Dr. Dan Richard Tobin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-6125

Penden Patti Mahautmr, MD - Medicare Family Medicine in Albany, NY