Shelley Ann Nicole Pennycooke, in Wilkes Barre, PA

Shelley Ann Nicole Pennycooke, is a medicare enrolled "Emergency Medicine" physician in Wilkes Barre, Pennsylvania. She went to Rowan University School Of Osteopathic Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Mclaren Medical Group and her current practice location is 1000 E Mountain Dr, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 808-7762.

Shelley Ann Nicole Pennycooke is licensed to practice in Pennsylvania (license number OS024274) 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 1821297938.

Contact Information

	Shelley Ann Nicole Pennycooke,
	1000 E Mountain Dr, Wilkes Barre, PA 18711-0027
	(570) 808-7762
	(570) 808-6128

Map and Direction

Physician's Profile

Full Name	Shelley Ann Nicole Pennycooke
Gender	Female
Speciality	Emergency Medicine
Experience	22 Years
Location	1000 E Mountain Dr, Wilkes Barre, Pennsylvania
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:

Shelley Ann Nicole Pennycooke attended and graduated from Rowan University School Of Osteopathic Medicine in 2004

NPI Data:

NPI Number: 1821297938
Provider Enumeration Date: 07/18/2007
Last Update Date: 11/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1759444375
Enrollment ID: I20250331000261

Medical Identifiers

Medical identifiers for Shelley Ann Nicole Pennycooke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821297938	NPI	-	NPPES
P00766006	Other	NJ	RR MEDICARE
0181943	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS024274 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Maine Medical Center	Lewiston, ME	Hospital
Bridgton Hospital	Bridgton, ME	Hospital
Bayshore Medical Center	Holmdel, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Medical Group	3971416082	314

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. Shelley Ann Nicole Pennycooke allows following entities to bill medicare on her behalf.

Entity Name	Mclaren Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025

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. Shelley Ann Nicole Pennycooke 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
Shelley Ann Nicole Pennycooke, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7762	Shelley Ann Nicole Pennycooke, 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7762

Reviews and Comments

Emergency Medicine Doctors in Wilkes Barre, PA

Dr. Daniel Goltz, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7762 Fax: 570-808-6128
Dr. Anthony Ascione, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111
Gary Bonfante, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7762 Fax: 570-808-6128
Dr. Lino A. Quilo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-826-3100
Todd C Daniello, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7762
Dr. Patricia M. Ihnat-shroff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 575 North River Street, Wilkes Barre, PA 18765 Phone: 570-826-3100
Dr. Jeffrey Brian Adler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7762 Fax: 570-808-6128

Shelley Ann Nicole Pennycooke, - Medicare Emergency Medicine in Wilkes Barre, PA