Mrs Penni Lane Exton, RN is a
Registered Nurse - Wound Care based in Momence, Illinois. Mrs Penni Lane Exton is licensed to practice in Illinois (license number 04148062) and her current practice location is
424 N Locust St, Momence, Illinois. She can be reached at her office (for appointments etc.) via phone at
(219) 973-8716.
NPI number for Mrs Penni Lane Exton is 1417628249 and her current mailing address is 424 N Locust St, Momence, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417628249.
Provider's Profile
| Full Name | Mrs Penni Lane Exton |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Wound Care |
|---|
| Location | 424 N Locust St, Momence, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417628249
- Provider Enumeration Date: 09/22/2021
- Last Update Date: 09/22/2021
Medical Identifiers
Medical identifiers for Mrs Penni Lane Exton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417628249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WW0000X | Registered Nurse - Wound Care | 04148062 (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. Mrs Penni Lane Exton 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 |
Mrs Penni Lane Exton, RN 424 N Locust St, Momence, IL 60954-1236 Ph: () - | Mrs Penni Lane Exton, RN 424 N Locust St, Momence, IL 60954-1236 Ph: (219) 973-8716 |
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