Ms Emily G Pengelly, PA-C, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Santa Rosa, California. Her current practice location is
401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 495-3732.
Ms Emily G Pengelly is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699072470.
Provider's Profile
| Full Name | Ms Emily G Pengelly |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 401 Bicentennial Way, Santa Rosa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Emily G Pengelly attended and graduated from in
NPI Data:
- NPI Number: 1699072470
- Provider Enumeration Date: 02/14/2011
- Last Update Date: 03/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Emily G Pengelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699072470 | 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. Ms Emily G Pengelly 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 |
|---|
Ms Emily G Pengelly, PA-C, MD
746 Pattrell Rd,
Norwich, VT 05055-9479
Ph: (210) 723-1843 | Ms Emily G Pengelly, PA-C, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
Ph: (707) 495-3732 |
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