Lee Thomas Penn, in Crown Point, IN - Medicare Clinical Psychologist Provider

Lee Thomas Penn, is a medicare enrolled "Psychologist - Clinical" provider in Crown Point, Indiana. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Neurology And Pain Management Associates Pc, Neurology And Pain Management Associates Pc and his current practice location is 2100 N Main St Ste 304, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (888) 837-5440.

Lee Thomas Penn is licensed to practice in Indiana (license number 20043365A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437763018.

Contact Information

	Lee Thomas Penn,
	2100 N Main St Ste 304, Crown Point, IN 46307-1877
	(888) 837-5440
	(574) 546-1999

Map and Direction

Healthcare Provider's Profile

Full Name	Lee Thomas Penn
Gender	Male
Speciality	Clinical Psychologist
Experience	5 Years
Location	2100 N Main St Ste 304, Crown Point, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lee Thomas Penn graduated from medical school in 2019

NPI Data:

NPI Number: 1437763018
Provider Enumeration Date: 09/01/2020
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 9133548209
Enrollment ID: I20200923002810

Medical Identifiers

Medical identifiers for Lee Thomas Penn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437763018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	263320 (Kentucky)	Secondary
103TC1900X	Psychologist - Counseling	20043365A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20043365A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neurology And Pain Management Associates Pc	4486676095	79
Neurology And Pain Management Associates Pc	4486676095	79

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. Lee Thomas Penn allows following entities to bill medicare on his behalf.

Entity Name	Neurology And Pain Management Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518900620 PECOS PAC ID: 4486676095 Enrollment ID: O20200219001360

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. Lee Thomas Penn 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
Lee Thomas Penn, Po Box 10299, Fort Wayne, IN 46851-0299 Ph: (574) 546-1900	Lee Thomas Penn, 2100 N Main St Ste 304, Crown Point, IN 46307-1877 Ph: (888) 837-5440

Reviews and Comments

Psychologist in Crown Point, IN

Adamantia Dina Leftakis, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Ziegfield Ct, Crown Point, IN 46307 Phone: 219-308-2454
Dr. Alexander C. Kristevski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9330 S Broadway, Abj-va Outpatient Clinic, Crown Point, IN 46307 Phone: 219-662-5098
Robin Christian Shear, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Jonathan Royce Vandervlugt, LMHCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9614 Granada Ct Apt 111, Crown Point, IN 46307 Phone: 773-732-1155
Dr. Victoria Colanese, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900
James Fenstermacher, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Miceal C. Rooney, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6685 E 117th Ave, Crown Point, IN 46307 Phone: 219-662-0642

Lee Thomas Penn, - Medicare Psychologist in Crown Point, IN