Mr Ryan Wells Penrod, PA-C in Scottsdale, AZ - Medicare Physician Assistant

Mr Ryan Wells Penrod, PA-C is a medicare enrolled "Physician Assistant" in Scottsdale, Arizona. His current practice location is 7312 E Deer Valley Rd Ste 100, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 454-4185.

Mr Ryan Wells Penrod is licensed to practice in Arizona (license number 5814) 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 1205238870.

Contact Information

	Mr Ryan Wells Penrod, PA-C
	7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7452
	(480) 454-4185
	(480) 745-2420

Map and Direction

Provider's Profile

Full Name	Mr Ryan Wells Penrod
Gender	Male
Speciality	Physician Assistant
Location	7312 E Deer Valley Rd Ste 100, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205238870
Provider Enumeration Date: 09/25/2014
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1052635240
Enrollment ID: I20150116001006

Medical Identifiers

Medical identifiers for Mr Ryan Wells Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205238870	NPI	-	NPPES
493484	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5814 (Arizona)	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. Mr Ryan Wells Penrod 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
Mr Ryan Wells Penrod, PA-C 7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7452 Ph: (480) 454-4185	Mr Ryan Wells Penrod, PA-C 7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7452 Ph: (480) 454-4185

Reviews and Comments

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Mr Ryan Wells Penrod, PA-C - Medicare Physician Assistant in Scottsdale, AZ