Douglas Lee Peckham, DDS is a
Dentist - General Practice based in Benkelman, Nebraska. Douglas Lee Peckham is licensed to practice in Nebraska (license number 5963) and his current practice location is
718 Chief St, Benkelman, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(308) 423-2024.
NPI number for Douglas Lee Peckham is 1619071727 and his current mailing address is Po Box 664, Benkelman, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619071727.
Healthcare Provider's Profile
Full Name | Douglas Lee Peckham |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 718 Chief St, Benkelman, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619071727
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Douglas Lee Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619071727 | NPI | - | NPPES |
47079964513 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5963 (Nebraska) | 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. Douglas Lee Peckham 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 |
Douglas Lee Peckham, DDS Po Box 664, Benkelman, NE 69021 Ph: (308) 423-2024 | Douglas Lee Peckham, DDS 718 Chief St, Benkelman, NE 69021 Ph: (308) 423-2024 |
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