ABIGAIL P PENEGUY PA
NPI 1326037458
Physician Assistant - Surgical in Baton Rouge, LA

NPI Status: Active since October 20, 2005

Contact Information

10101 PARK ROWE AVE
SUITE 200
BATON ROUGE, LA
ZIP 70810
Phone: (225) 769-2200
Fax: (225) 768-2185

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  • Individual
  • Female
  • Years of Experience 22
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ABIGAIL PENEGUY

This page provides the complete NPI Profile along with additional information for Abigail Peneguy, a provider established in Baton Rouge, Louisiana with a medical specialization in Physician Assistant, focusing in surgical and more than 22 years of experience. She graduated from Louisiana State University School Of Medicine In Shreveport in 2004. The healthcare provider is registered in the NPI registry with number 1326037458 assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number A20027 (LA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1326037458
Provider Name
ABIGAIL P PENEGUY PA
Gender
Female
Entity Type
Individual
Location Address
10101 PARK ROWE AVE SUITE 200 BATON ROUGE, LA 70810
Location Phone
(225) 769-2200
Location Fax
(225) 768-2185
Mailing Address
10101 PARK ROWE AVE SUITE 200 BATON ROUGE, LA 70810
Mailing Phone
(225) 769-2200
Mailing Fax
(225) 768-2185
Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year
2004
Is Sole Proprietor?
Yes
Enumeration Date
10-20-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A20027
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Abigail Peneguy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Abigail Peneguy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385609460

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20041130001124

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Abigail Peneguy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BATON ROUGE GENERAL MEDICAL CENTER8585 PICARDY AVE
BATON ROUGE, LA 70809
(225) 387-7767Acute Care Hospitals
SURGICAL SPECIALTY CENTER OF BATON ROUGE8080 BLUEBONNET BLVD
BATON ROUGE, LA 70810
(225) 408-8080Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326037458, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 0 + 3 + 1 + 4 + 4 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1326037458.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation (Pain Medicine)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physician Assistant (Surgical)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physician Assistant (Surgical)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physician Assistant (Surgical)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Occupational Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, STE. 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326037458, enumerated as an "individual" on October 20, 2005.

The provider is located at 10101 PARK ROWE AVE SUITE 200 BATON ROUGE, LA 70810 and the phone number is (225) 769-2200.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.

Abigail Peneguy is affiliated with: BATON ROUGE GENERAL MEDICAL CENTER and SURGICAL SPECIALTY CENTER OF BATON ROUGE.