Dr. Jeri L Penkava
MD | Developmental - Behavioral Pediatrics | Female
Dr. Jeri L Penkava, MD is a San Antonio, Texas based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Jeri L Penkava is
1370 Pantheon Way Ste 250, San Antonio, Texas - 78232-2290. She can be contacted on phone at
210-403-2343 and fax number 210-403-2350.
Dr. Jeri L Penkava is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jeri L Penkava is
1134285430 which was assigned by NPPES on 29 Dec, 2006 and it was last updated on 08 Mar, 2023.
Dr. Jeri L Penkava license number is
G4242 for Pediatrics, Developmental - Behavioral Pediatrics (2080P0006X) in Texas.
Dr. Jeri L Penkava is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Jeri L Penkava basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | Dr. Jeri L Penkava |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Jeri L Penkava address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1370 Pantheon Way Ste 250
San Antonio, TX, 78232-2290
United States |
|---|
| Phone Number : | 210-403-2343 |
|---|
| Fax Number : | 210-403-2350 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134285430 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 29 Dec, 2006 |
|---|
| Last Updated On : | 08 Mar, 2023 |
|---|
Medicare Participation:
Dr. Jeri L Penkava participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9739303199 |
|---|
| Medicare Enrollment ID : | I20140605000911 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Louisiana State University School Of Medicine In New Orleans |
|---|
| Graduation Year : | 1977 |
|---|
| Accepts Medicare? | Yes. Dr. Jeri L Penkava accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Jeri L Penkava is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jeri L Penkava is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| | | 1046 Central S Pkwy
San Antonio, TX - 782325021
Ph: 2104032343 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeri L Penkava are as mentioned. Primary taxonomy code for Dr. Jeri L Penkava, MD is
2080P0006X (Pediatrics, Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | Yes | G4242 | TX |
| 208000000X | Pediatrics | No | G4242 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jeri L Penkava such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 121517009 | MEDICAID | TX | |
| 347259 | Other (non-Medicare) | TX | PTAN |
| E03382 | MEDICARE UPIN | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1370 Pantheon Way Ste 250
San Antonio, TX, 78232-2290
United States |
|---|
| Phone Number : | 210-403-2343 |
|---|
| Fax Number : | 210-403-2350 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jeri L Penkava practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.