Mr Sandy Jay Penner, CRNA - Medicare Nurse Anesthetist, Certified Registered in Hobart, OK

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Mr Sandy Jay Penner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hobart, Oklahoma. His current practice location is 429 West Elm Street., Hobart, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 726-3324.

Mr Sandy Jay Penner is licensed to practice in Oklahoma (license number R0049080) 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 1578663977.

Contact Information

Mr Sandy Jay Penner, CRNA
429 West Elm Street.,
Hobart, OK 73651
(580) 726-3324
Not Available

Map and Direction




Provider's Profile

Full NameMr Sandy Jay Penner
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location429 West Elm Street., Hobart, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578663977
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527110634
  • Enrollment ID: I20090721000690

Medical Identifiers

Medical identifiers for Mr Sandy Jay Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578663977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R0049080 (Oklahoma)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. Mr Sandy Jay Penner allows following entities to bill medicare on his behalf.
Entity NameWeatherford Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346494275
PECOS PAC ID: 9032021837
Enrollment ID: O20040413001105
Entity NameKiowa County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699758086
PECOS PAC ID: 7416948500
Enrollment ID: O20040519000013
Entity NameWestern Oklahoma Anesthesia Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102614
PECOS PAC ID: 4587924865
Enrollment ID: O20180206000663
Entity NameWestern Oklahoma Anesthesia Consultants Woodward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427615731
PECOS PAC ID: 3779817960
Enrollment ID: O20190621000715

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 Sandy Jay Penner 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 AddressPractice Location Address
Mr Sandy Jay Penner, CRNA
429 West Elm Street.,
Hobart, OK 73651

Ph: (580) 726-3324		Mr Sandy Jay Penner, CRNA
429 West Elm Street.,
Hobart, OK 73651

Ph: (580) 726-3324

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hobart, OK


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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.