Dr David Ross Penn, MD - Medicare Interventional Radiology in Stockbridge, GA

Dr David Ross Penn, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Stockbridge, Georgia. He went to University Of Florida College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice South Atlanta Vascular Institute, Llc and his current practice location is 1035 Southcrest Dr Ste 250, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 996-9945.

Dr David Ross Penn is licensed to practice in Georgia (license number 072605) 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 1760644355.

Contact Information

Dr David Ross Penn, MD
1035 Southcrest Dr Ste 250,
Stockbridge, GA 30281-6117
(770) 996-9945
Not Available



Physician's Profile

Full NameDr David Ross Penn
GenderMale
SpecialityInterventional Radiology
Experience16 Years
Location1035 Southcrest Dr Ste 250, Stockbridge, Georgia
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:
  • Dr David Ross Penn attended and graduated from University Of Florida College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1760644355
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 12/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426279563
  • Enrollment ID: I20141015000500

Medical Identifiers

Medical identifiers for Dr David Ross Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760644355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 30815 (South Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 072605 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Regional Medical CenterRiverdale, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Atlanta Vascular Institute, Llc73152899723

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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. Dr David Ross Penn allows following entities to bill medicare on his behalf.
Entity NameSouth Atlanta Vascular Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063903078
PECOS PAC ID: 7315289972
Enrollment ID: O20190430002811

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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. Dr David Ross 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 AddressPractice Location Address
Dr David Ross Penn, MD
860 Peachtree St Ne Unit 1902,
Atlanta, GA 30308-1277

Ph: (954) 560-1177
Dr David Ross Penn, MD
1035 Southcrest Dr Ste 250,
Stockbridge, GA 30281-6117

Ph: (770) 996-9945

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Radiology Doctors in Stockbridge, GA

Dr. Sasha Hyatt Wahab, MD, MA
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-228-3737    Fax: 770-228-9334
Nemil Shah, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 706-077-3397    Fax: 678-905-7053
Kim Vu Neisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Hospital Dr, Stockbridge, GA 30281
Phone: 678-251-1099    
Steven V Manzi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-389-2200    
Toluwalase Ashimolowo, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-607-7339    Fax: 678-905-7053
Dr. David William Allison, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7402 Davidson Cir W, Stockbridge, GA 30281
Phone: 770-919-5238    
Dr. Charles Arthur Gilliland Iv, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-607-7339    Fax: 678-905-7053

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