Penscott Medical Corporation - Medicare Primary Care in Danville, CA

Penscott Medical Corporation is a medicare enrolled primary clinic (Family Medicine) in Danville, California. The current practice location for Penscott Medical Corporation is 4165 Blackhawk Plaza Cir, #250, Danville, California. For appointments, you can reach them via phone at (925) 736-8510. The mailing address for Penscott Medical Corporation is 4165 Blackhawk Plaza Cir, #250, Danville, California and phone number is (925) 736-8510.

Penscott Medical Corporation is licensed to practice in California (license number G53582). The clinic also participates in the medicare program and its NPI number is 1316038920. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (925) 736-8510.

Contact Information

Penscott Medical Corporation
4165 Blackhawk Plaza Cir
#250
Danville
CA 94506-4904
(925) 736-8510
(925) 736-2491

Primary Care Clinic Profile

Full NamePenscott Medical Corporation
SpecialityFamily Medicine
Location4165 Blackhawk Plaza Cir, Danville, California
Authorized Official Name and PositionJohn William Roberts (PRESIDENT)
Authorized Official Contact9257368510
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Penscott Medical Corporation
4165 Blackhawk Plaza Cir
#250
Danville
CA 94506-4904

Ph: (925) 736-8510
Penscott Medical Corporation
4165 Blackhawk Plaza Cir
#250
Danville
CA 94506-4904

Ph: (925) 736-8510

NPI Details:

NPI Number1316038920
Provider Enumeration Date09/27/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4587658703
Medicare Enrollment IDO20040412000796

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Medical Identifiers

Medical identifiers for Penscott Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316038920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G53582 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Penscott Medical Corporation acts as a billing entity for following providers:
Provider NamePamela Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255311809
PECOS PAC ID: 8729072400
Enrollment ID: I20040414000751

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