Dr Jeremiah Jon Penn, MD - Medicare Family Practice in Bismarck, ND

Dr Jeremiah Jon Penn, MD is a medicare enrolled "Family Medicine" physician in Bismarck, North Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Innovis Health Llc and his current practice location is 401 N 9th St., Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 530-6000.

Dr Jeremiah Jon Penn is licensed to practice in North Dakota (license number 9448) 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 1043237522.

Contact Information

Dr Jeremiah Jon Penn, MD
401 N 9th St.,
Bismarck, ND 58501-4580
(701) 530-6000
(701) 530-6422



Physician's Profile

Full NameDr Jeremiah Jon Penn
GenderMale
SpecialityFamily Practice
Experience22 Years
Location401 N 9th St., Bismarck, North Dakota
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 Jeremiah Jon Penn attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2002
  NPI Data:
  • NPI Number: 1043237522
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375445778
  • Enrollment ID: I20040126000353

Medical Identifiers

Medical identifiers for Dr Jeremiah Jon Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043237522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9448 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

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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 Jeremiah Jon Penn allows following entities to bill medicare on his behalf.
Entity NameMid Dakota Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275587826
PECOS PAC ID: 9638072895
Enrollment ID: O20040127001063

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Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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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 Jeremiah Jon 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 Jeremiah Jon Penn, MD
401 N 9th St,
Bismarck, ND 58501-4530

Ph: (701) 530-6000
Dr Jeremiah Jon Penn, MD
401 N 9th St.,
Bismarck, ND 58501-4580

Ph: (701) 530-6000

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Family Medicine Doctors in Bismarck, ND

Gary Robert Betting, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 515 E Broadway, Center For Family Medicine, Bismarck, ND 58501
Phone: 701-751-9500    Fax: 701-751-9508
James B Bossort, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    Fax: 701-323-5709
Haily Datz,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 E Rosser Ave, Bismarck, ND 58501
Phone: 701-751-9500    Fax: 701-751-9508
Monika Pothamsetti, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 E Rosser Ave, Bismarck, ND 58501
Phone: 701-751-9500    
Olimpia Rauta, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    Fax: 701-323-8305
Dr. Todd W Schaffer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3318 N 14th St, Bismarck, ND 58503
Phone: 701-323-8300    Fax: 701-323-8305

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