Jennifer A Pennington (NPI# 1114145687, PAC ID# 5698860898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114145687 |
| PAC ID by PECOS | 5698860898 |
| Professional Enrollment ID | I20071003000357 |
| Full Name | Jennifer A Pennington |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
4630 Vistula Rd Mishawaka IN 46544-4000 |
| Phone Number | 5746471900 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 4630 Vistula Rd, Mishawaka, IN 46544-4000 | 5746471900 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
4630 VISTULA RD |
| City | MISHAWAKA |
| State | IN |
| Zip | 46544-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel W Abel | Family Medicine | Beacon Medical Group Inc | 4630 Vistula Rd, Mishawaka, IN 46544-4000 |
| Ryan Bonek | Family Medicine | Beacon Medical Group Inc | 4630 Vistula Rd, Mishawaka, IN 46544-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Guthrie | Family Practice | Img Associates LLC | 4215 Edison Lakes Pkwy, Suite 300, Mishawaka, IN 46544-1427 |
| Laura L Helman | Family Medicine | 1207 Lincolnway W, Mishawaka Osteopathic Clinic, Mishawaka, IN 46544-1709 | |
| Glenn Scott Wheet | Family Medicine | 900 Lincolnway W, Mishawaka, IN 46544-1716 | |
| Bryan C Glenn | Chiropractic | 535 Lincolnway W, Mishawaka, IN 46544-1800 | |
| Jana Schenkel | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Rebecca Ann Bauer | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Katherine A Lisoni | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Kathleen A Long | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Erica Garrett | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Michelle Streb | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Find all physicians in zip 46544 | |||
| City | MISHAWAKA |
| Zip Code | 46544 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MISHAWAKA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer A Pennington.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.