Patricia Marie Pena, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Patricia Marie Pena is licensed to practice in * (Not Available) (license number ) and her current practice location is
2245 Rivermont Pl, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 781-9963.
NPI number for Patricia Marie Pena is 1538054549 and her current mailing address is 2245 Rivermont Pl, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538054549.
Provider's Profile
| Full Name | Patricia Marie Pena |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2245 Rivermont Pl, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538054549
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Patricia Marie Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538054549 | 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. Patricia Marie Pena 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 |
|---|
Patricia Marie Pena,
2245 Rivermont Pl,
Charleston, SC 29414-5810
Ph: (843) 781-9963 | Patricia Marie Pena,
2245 Rivermont Pl,
Charleston, SC 29414-5810
Ph: (843) 781-9963 |
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