Mary Jane Pennington, MD - Medicare Pediatric Medicine in West Valley City, UT

Mary Jane Pennington, MD is a medicare enrolled "Pediatrics" physician in West Valley City, Utah. She went to Washington University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and her current practice location is 3725 W 4100 South, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 965-3600.

Mary Jane Pennington is licensed to practice in Utah (license number 1750881205) 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 1205868452.

Contact Information

Mary Jane Pennington, MD
3725 W 4100 South,
West Valley City, UT 84120
(801) 965-3600
(801) 965-3526



Physician's Profile

Full NameMary Jane Pennington
GenderFemale
SpecialityPediatric Medicine
Experience39 Years
Location3725 W 4100 South, West Valley City, Utah
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:
  • Mary Jane Pennington attended and graduated from Washington University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1205868452
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 05/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4486566619
  • Enrollment ID: I20061207000281

Medical Identifiers

Medical identifiers for Mary Jane Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205868452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1750881205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691115
Granger Medical Specialists Llc4587074356157

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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. Mary Jane Pennington allows following entities to bill medicare on her behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159

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Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

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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. Mary Jane 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
Mary Jane Pennington, MD
3725 W 4100 South,
West Valley City, UT 84120

Ph: (801) 965-3600
Mary Jane Pennington, MD
3725 W 4100 South,
West Valley City, UT 84120

Ph: (801) 965-3600

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Pediatrics Doctors in West Valley City, UT

Dr. Mary E Shapiro, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3730 W 4700 S, West Valley City, UT 84118
Phone: 801-213-9200    
Dr. Ryan K Frome, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3448    
Dr. Julie I Wilkerson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3725 W 4100 S, West Valley City, UT 84120
Phone: 801-965-3600    Fax: 801-965-3526
Alyson Eyre, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3600    
Dana C Ostermiller, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3725 W 4100 S, West Valley City, UT 84120
Phone: 801-965-3600    
Craig A Brasher, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3600    

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