Jennifer Anne Pennington, DO - Medicare Family Practice in Mishawaka, IN

Jennifer Anne Pennington, DO is a medicare enrolled "Family Medicine" physician in Mishawaka, Indiana. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 4630 Vistula Rd, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1900.

Jennifer Anne Pennington is licensed to practice in Indiana (license number 02003207A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114145687.

Contact Information

Jennifer Anne Pennington, DO
4630 Vistula Rd,
Mishawaka, IN 46544-4000
(574) 647-1900
(574) 254-7222



Physician's Profile

Full NameJennifer Anne Pennington
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location4630 Vistula Rd, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Anne Pennington graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1114145687
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698860898
  • Enrollment ID: I20071003000357

Medical Identifiers

Medical identifiers for Jennifer Anne Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114145687NPI-NPPES
000000533533OtherINBCBS BMG SCHWARTZ-WIEKAMP
200874950MedicaidIN
P00734479OtherINRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02003207A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Elkhart General HospitalElkhart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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. Jennifer Anne Pennington allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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. Jennifer Anne Pennington 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
Jennifer Anne Pennington, DO
710 N Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610
Jennifer Anne Pennington, DO
4630 Vistula Rd,
Mishawaka, IN 46544-4000

Ph: (574) 647-1900

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Family Medicine Doctors in Mishawaka, IN

Theodore R Neumann, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545
Phone: 574-335-6580    
Dr. Josephine Schimizzi, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1505 South Spring Street, Mishawaka, IN 46544
Phone: 574-255-0726    
Dale Dennis Deardorff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544
Phone: 574-247-3456    Fax: 574-247-3455
James Mccarrey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    
Dr. Jack S. Bartoszek, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544
Phone: 574-252-3085    Fax: 574-252-5906
Dr. Lawrence R Curry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545
Phone: 574-256-2556    Fax: 574-258-4278

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