Lin Peng, DMD is a medicare enrolled "Dentist" provider in Jackson, Kentucky. Her current practice location is
1484 Lakeside Dr, Jackson, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 666-9950.
Lin Peng is licensed to practice in Kentucky (license number 10489) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750908075.
Healthcare Provider's Profile
Full Name | Lin Peng |
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Gender | Female |
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Speciality | Dentist |
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Location | 1484 Lakeside Dr, Jackson, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750908075
- Provider Enumeration Date: 07/02/2020
- Last Update Date: 07/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416320700
- Enrollment ID: I20230307003280
Medical Identifiers
Medical identifiers for Lin Peng such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750908075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 10489 (Kentucky) | 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. Lin Peng allows following entities to bill medicare on her behalf.
Entity Name | St. Claire Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821168535 PECOS PAC ID: 4486559085 Enrollment ID: O20031205000579 |
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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. Lin Peng 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 |
Lin Peng, DMD 787 Lakeside Dr, Jackson, KY 41339-7486 Ph: (646) 407-0233 | Lin Peng, DMD 1484 Lakeside Dr, Jackson, KY 41339-6555 Ph: (606) 666-9950 |
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