Aurora J Peacock, MD | |
1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | |
(678) 312-4440 | |
Not Available |
Full Name | Aurora J Peacock |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124227368 | NPI | - | NPPES |
P00858092 | Other | GA | RR MEDICARE |
003104746 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 200700622 (North Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 064240 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Metropolitan Radiology Associates Llp | 7214825561 | 35 |
Entity Name | Northside Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20040115000095 |
Entity Name | North Metropolitan Radiology Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437137031 PECOS PAC ID: 7214825561 Enrollment ID: O20040308001224 |
Entity Name | John Creek Diagnostic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225044068 PECOS PAC ID: 1153324256 Enrollment ID: O20071210000004 |
Mailing Address | Practice Location Address |
---|---|
Aurora J Peacock, MD Po Box 1746, Indianapolis, IN 46206-1746 Ph: (877) 383-4442 | Aurora J Peacock, MD 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (678) 312-4440 |
Samuel Montague, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1280 Bramlett Blvd, Lawrenceville, GA 30045 Phone: 470-484-0932 | |
Jaymin Rajnikant Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4440 | |
Dr. Stephanie Felicia Roberson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4440 | |
Dr. Stephen F Legum, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 770-995-4321 | |
Dr. Douglas H Seeb, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Radiology Dept, Lawrenceville, GA 30045 Phone: 770-995-4321 | |
Dr. Neal Frenkel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4440 |