Amanda Penick, PA-C in Bloomington, MN - Medicare Physician Assistant

Amanda Penick, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. Her current practice location is 5320 Hyland Greens Dr, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-2400.

Amanda Penick is licensed to practice in Minnesota (license number 14233) 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 1891418448.

Contact Information

	Amanda Penick, PA-C
	5320 Hyland Greens Dr, Bloomington, MN 55437-3934
	(952) 993-2400
	(952) 993-2522

Map and Direction

Provider's Profile

Full Name	Amanda Penick
Gender	Female
Speciality	Physician Assistant
Location	5320 Hyland Greens Dr, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891418448
Provider Enumeration Date: 09/20/2022
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1850760901
Enrollment ID: I20221212001517

Medical Identifiers

Medical identifiers for Amanda Penick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891418448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	14233 (Minnesota)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

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. Amanda Penick 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
Amanda Penick, PA-C 8265 Obrian Ave Ne, Otsego, MN 55330-7413 Ph: () -	Amanda Penick, PA-C 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 Ph: (952) 993-2400

Reviews and Comments

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Amanda Penick, PA-C - Medicare Physician Assistant in Bloomington, MN