Tasha Maria Peacock, is a
Community Health Worker based in Maple Heights, Ohio. Tasha Maria Peacock is licensed to practice in Ohio (license number CHW002436) and her current practice location is
5332 Hollywood Ave, Maple Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 983-7422.
NPI number for Tasha Maria Peacock is 1477308773 and her current mailing address is 671 Vernon Odom Blvd, Akron, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477308773.
Healthcare Provider's Profile
Full Name | Tasha Maria Peacock |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 5332 Hollywood Ave, Maple Heights, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477308773
- Provider Enumeration Date: 04/19/2024
- Last Update Date: 04/19/2024
Medical Identifiers
Medical identifiers for Tasha Maria Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477308773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP1600X | Counselor - Pastoral | (Ohio) | Secondary |
172V00000X | Community Health Worker | CHW002436 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tasha Maria Peacock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tasha Maria Peacock, 671 Vernon Odom Blvd, Akron, OH 44307-1867 Ph: (330) 983-7422 | Tasha Maria Peacock, 5332 Hollywood Ave, Maple Heights, OH 44137 Ph: (330) 983-7422 |
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