William J Penn, MD is a
Emergency Medicine physician based in Yelm, Washington. William J Penn is licensed to practice in Washington (license number MD00020401) and his current practice location is 201 Tahoma Blvd, Suite 102, Yelm, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 458-7761.
NPI number for William J Penn is 1194771535 and his current mailing address is 201 Tahoma Blvd, Suite 102, Yelm, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194771535.
Physician's Profile
| Full Name | William J Penn |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 201 Tahoma Blvd, Yelm, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194771535
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 09/20/2013
Medical Identifiers
Medical identifiers for William J Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194771535 | NPI | - | NPPES |
| 62141 | Other | WA | L&I - WORKERS COMP |
| T00079 | Other | WA | REGENCE |
| 1018621 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD00020401 (Washington) | Primary |
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. William J Penn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William J Penn, MD
201 Tahoma Blvd, Suite 102,
Yelm, WA 98597-7735
Ph: (360) 458-7761 | William J Penn, MD
201 Tahoma Blvd, Suite 102,
Yelm, WA 98597-7735
Ph: (360) 458-7761 |
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