Caleb Pennock, - Licensed Practical Nurse in Carterville, IL

Caleb Pennock, is a Licensed Practical Nurse based in Carterville, Illinois. Caleb Pennock is licensed to practice in Illinois (license number 043.122929) and his current practice location is 4474 Old Route 13, Carterville, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 889-7076.

NPI number for Caleb Pennock is 1720535032 and his current mailing address is 4474 Old Route 13, Carterville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720535032.

Contact Information

Caleb Pennock,
4474 Old Route 13,
Carterville, IL 62918-3300
(618) 889-7076
Not Available

Map and Direction




Provider's Profile

Full NameCaleb Pennock
GenderMale
SpecialityLicensed Practical Nurse
Location4474 Old Route 13, Carterville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720535032
  • Provider Enumeration Date: 09/02/2016
  • Last Update Date: 09/02/2016

Medical Identifiers

Medical identifiers for Caleb Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720535032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043.122929 (Illinois)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. Caleb Pennock 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 AddressPractice Location Address
Caleb Pennock,
4474 Old Route 13,
Carterville, IL 62918-3300

Ph: () -
Caleb Pennock,
4474 Old Route 13,
Carterville, IL 62918-3300

Ph: (618) 889-7076

Reviews and Comments


Licensed Practical Nurse Nurses in Carterville, IL

Jennifer Sue Derosia, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 403 Municipal Dr, Carterville, IL 62918
Phone: 855-608-3560    Fax: 618-956-9349
Jacob Kierbs,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1216 Hummingbird Ct, Carterville, IL 62918
Phone: 217-855-1760    
Mrs. Angela Congiardo, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 713 Vermont Rd, Carterville, IL 62918
Phone: 618-694-3963    
Mrs. Breanne Nicole Mekelburg, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 317 Texas Ave, Carterville, IL 62918
Phone: 618-203-3954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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