JACQUELINE PENN D.O..
NPI 1083001143
Psychiatry & Neurology - Psychiatry in San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

Active since April 16, 2015PECOS Enrolled

1001 POTRERO AVE # 6B, SAN FRANCISCO, CA 94110(415) 206-5270(415) 206-4722 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline Penn D.o.. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE PENN D.O.. (NPI 1083001143) is an individual psychiatry provider in San Francisco, California, licensed in California (20A16297) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1083001143

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJACQUELINE PENNCredential: D.O..

Location Address1001 POTRERO AVE # 6BSan Francisco, CA 94110

Mailing Address4802 10th Avenue, Maimonides Medical CenterBrooklyn, NY 11219

Phone(415) 206-5270

Fax(415) 206-4722

Sole ProprietorYes

Enumeration DateApril 16, 2015

Last NPPES UpdateJune 7, 2018

✔ NPI 1083001143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A16297

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 196488853 (NY)

1001 POTRERO AVE # 6B, San Francisco, CA 94110

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Secondary Practice Location 1

Location 14802 10th avenue, Maimonides medical centerBrooklyn, NY 11219 · Phone (718) 283-7850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Penn D.o.. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.