Shirley A Penney, PA is a
Physician Assistant based in St Ansgar, Iowa. Shirley A Penney is licensed to practice in Iowa (license number 866) and her current practice location is
140 W 4th St, St Ansgar, Iowa. She can be reached at her office (for appointments etc.) via phone at
(641) 736-4401.
NPI number for Shirley A Penney is 1417049032 and her current mailing address is 621 S Illinois Ave, Suite 103, Mason City, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417049032.
Provider's Profile
| Full Name | Shirley A Penney |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 140 W 4th St, St Ansgar, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417049032
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shirley A Penney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417049032 | NPI | - | NPPES |
| 10819 | Other | IA | WELLMARK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 866 (Iowa) | 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. Shirley A Penney 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 |
|---|
Shirley A Penney, PA
621 S Illinois Ave, Suite 103,
Mason City, IA 50401-5489
Ph: (641) 494-3041 | Shirley A Penney, PA
140 W 4th St,
St Ansgar, IA 50472-0000
Ph: (641) 736-4401 |
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