Matthew Alan Penix, CNP is a medicare enrolled "Nurse Practitioner" in Mc Dermott, Ohio. His current practice location is
812 Mohawk Dr, Mc Dermott, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 356-6030.
Matthew Alan Penix is licensed to practice in Ohio (license number APRN.CNP.0033330) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487352076.
Provider's Profile
| Full Name | Matthew Alan Penix |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 812 Mohawk Dr, Mc Dermott, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487352076
- Provider Enumeration Date: 02/22/2023
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496128563
- Enrollment ID: I20230310001905
Medical Identifiers
Medical identifiers for Matthew Alan Penix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487352076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN.CNP.0033330 (Ohio) | Primary |
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. Matthew Alan Penix allows following entities to bill medicare on his behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
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| Entity Name | Adams County Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851946909
PECOS PAC ID: 8921431131
Enrollment ID: O20200427002166 |
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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. Matthew Alan Penix 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 |
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Matthew Alan Penix, CNP
1735 27th St Ste B06,
Portsmouth, OH 45662-2681
Ph: () - | Matthew Alan Penix, CNP
812 Mohawk Dr,
Mc Dermott, OH 45652-9000
Ph: (740) 356-6030 |
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