Dillon Pender, MD - Medicare Emergency Medicine in Glasgow, KY

Dillon Pender, MD is a medicare enrolled "Family Medicine" physician in Glasgow, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Physician Services Pc, T J Samson Community Hospital and his current practice location is 310 N L Rogers Wells Blvd, Glasgow, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 659-5555.

Dillon Pender is licensed to practice in Kentucky (license number 55213) 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 1639666571.

Contact Information

Dillon Pender, MD
310 N L Rogers Wells Blvd,
Glasgow, KY 42141-1300
(270) 659-5555
Not Available



Physician's Profile

Full NameDillon Pender
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location310 N L Rogers Wells Blvd, Glasgow, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dillon Pender attended and graduated from University Of Louisville School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1639666571
  • Provider Enumeration Date: 04/17/2018
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810224326
  • Enrollment ID: I20200430002744

Medical Identifiers

Medical identifiers for Dillon Pender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639666571NPI-NPPES
7100603490MedicaidKY
K300041OtherKYMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R4843 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 55213 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
T J Samson Community HospitalGlasgow, KYHospital
Tj Health ColumbiaColumbia, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852473
T J Samson Community Hospital0648182600138

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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. Dillon Pender allows following entities to bill medicare on his behalf.
Entity NameT J Samson Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477609865
PECOS PAC ID: 0648182600
Enrollment ID: O20040318001777

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Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285

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Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150

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Entity NameUrgent Care Services Southeast Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427831759
PECOS PAC ID: 0345694766
Enrollment ID: O20231003002701

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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. Dillon Pender 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 AddressPractice Location Address
Dillon Pender, MD
170 Winter Park Pl,
Elizabethtown, KY 42701-8396

Ph: () -
Dillon Pender, MD
310 N L Rogers Wells Blvd,
Glasgow, KY 42141-1300

Ph: (270) 659-5555

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Family Medicine Doctors in Glasgow, KY

Lee Carter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1301 N Race St, Glasgow, KY 42141
Phone: 270-651-4444    
Dr. Erica Lynn Courtney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1325 N Race St, Glasgow, KY 42141
Phone: 270-651-4797    Fax: 270-651-4818
Dr. Melenda Kaye Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141
Phone: 270-651-1111    Fax: 270-659-5851
Dr. Rondal Brent Wright, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1325 N Race St, Glasgow, KY 42141
Phone: 270-651-4797    Fax: 270-651-4818
Dr. Phillip W Bale, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1330 N Race St, Glasgow, KY 42141
Phone: 270-629-5111    Fax: 270-783-3760
Dr. William C Thornbury Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 Professional Park Dr, Glasgow, KY 42141
Phone: 270-659-9696    Fax: 270-659-9797
Dr. Brad Morris Mallory, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141
Phone: 270-651-1111    Fax: 270-659-5850

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