Michael John Peneguy, DDS in Thibodaux, LA - Medicare Dentist Provider

Michael John Peneguy, DDS is a medicare enrolled "Dentist" provider in Thibodaux, Louisiana. His current practice location is 824 Ridgefield Rd, Thibodaux, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 446-8815.

Michael John Peneguy is licensed to practice in Louisiana (license number 5203) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154338457.

Contact Information

	Michael John Peneguy, DDS
	824 Ridgefield Rd, Thibodaux, LA 70301-2726
	(985) 446-8815
	Not Available

Healthcare Provider's Profile

Full Name	Michael John Peneguy
Gender	Male
Speciality	Dentist
Location	824 Ridgefield Rd, Thibodaux, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154338457
Provider Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7113265182
Enrollment ID: I20190218000605

Medical Identifiers

Medical identifiers for Michael John Peneguy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154338457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5203 (Louisiana)	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. Michael John Peneguy 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
Michael John Peneguy, DDS Po Box 630, Thibodaux, LA 70302-0630 Ph: (985) 446-8815	Michael John Peneguy, DDS 824 Ridgefield Rd, Thibodaux, LA 70301-2726 Ph: (985) 446-8815

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Dentist in Thibodaux, LA

Dr. Aimee Dupree Ledet, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 N Canal Blvd Ste 1, Thibodaux, LA 70301 Phone: 984-446-1917 Fax: 985-446-1918
Dr. Susie Parker Goolsby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 East Seventh St, Thibodaux, LA 70301 Phone: 985-446-0500 Fax: 985-446-0500
Dr. Jason R. Ray, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 698 E 1st St, Thibodaux, LA 70301 Phone: 985-446-8037 Fax: 985-447-4648
Dr. Sheard Adolph Ber, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1711 Himalaya Ave, Thibodaux, LA 70301 Phone: 985-446-5031 Fax: 985-446-7458
Dr. Christy Marcello, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 156 W Main St, Thibodaux, LA 70301 Phone: 985-226-1076
Dr. Katelynn Colburn, Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-447-4783

Michael John Peneguy, DDS - Medicare Dentist in Thibodaux, LA