Caroline Grace Pennington, is a
Student In An Organized Health Care Education/training Program based in Lake Wylie, South Carolina. Caroline Grace Pennington is licensed to practice in * (Not Available) (license number ) and her current practice location is
4573 Island Forks Rd, Lake Wylie, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 860-2142.
NPI number for Caroline Grace Pennington is 1730074725 and her current mailing address is 4573 Island Forks Rd, Lake Wylie, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730074725.
Provider's Profile
| Full Name | Caroline Grace Pennington |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4573 Island Forks Rd, Lake Wylie, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730074725
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Caroline Grace Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730074725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Caroline Grace Pennington 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 |
|---|
Caroline Grace Pennington,
4573 Island Forks Rd,
Lake Wylie, SC 29710-8040
Ph: () - | Caroline Grace Pennington,
4573 Island Forks Rd,
Lake Wylie, SC 29710-8040
Ph: (704) 860-2142 |
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