Dr Mark Eugene Peacock, DMD, MS in Augusta, GA

Dr Mark Eugene Peacock, DMD, MS is a medicare enrolled "Dentist - Periodontics" provider in Augusta, Georgia. His current practice location is 1430 John Wesley Gilbert Drive, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-2441.

Dr Mark Eugene Peacock is licensed to practice in Georgia (license number DN013245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578652616.

Contact Information

	Dr Mark Eugene Peacock, DMD, MS
	1430 John Wesley Gilbert Drive, Augusta, GA 30912-3238
	(706) 721-2441
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Eugene Peacock
Gender	Male
Speciality	Dentist - Periodontics
Location	1430 John Wesley Gilbert Drive, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578652616
Provider Enumeration Date: 10/12/2006
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6406152677
Enrollment ID: I20190206003118

Medical Identifiers

Medical identifiers for Dr Mark Eugene Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578652616	NPI	-	NPPES
ZX3246	Medicaid	SC
003131974B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	DNCS000384 (Georgia)	Secondary
1223P0300X	Dentist - Periodontics	DN013245 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Eugene Peacock allows following entities to bill medicare on his behalf.

Entity Name	Augusta University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760559124 PECOS PAC ID: 0840188090 Enrollment ID: O20040309000453

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. Dr Mark Eugene Peacock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Eugene Peacock, DMD, MS 1430 John Wesley Gilbert Drive Gc-1012, Augusta, GA 30912-3238 Ph: (706) 721-7913	Dr Mark Eugene Peacock, DMD, MS 1430 John Wesley Gilbert Drive, Augusta, GA 30912-3238 Ph: (706) 721-2441

Reviews and Comments

Dentist in Augusta, GA

Dr. Geoffrey Allen Thompson, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Steven Kent Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912 Phone: 706-721-0502 Fax: 706-721-6778
Dr. John S. Blalock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3606 Wheeler Rd., Augusta, GA 30909 Phone: 706-481-8811 Fax: 706-481-8507
Dr. Theodore D Ravenel V, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Logan Nalley Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Bldg. 1, Augusta, GA 30909 Phone: 706-733-8641 Fax: 706-733-8615
Dr. Tobin Trotter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Pleasant Home Rd, Augusta, GA 30907 Phone: 706-860-2442
Dr. Eyitemi Elete, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917

Dr Mark Eugene Peacock, DMD, MS - Medicare Dentist in Augusta, GA