Christopher Previn Peck, MD | |
220 24th St S, Wisconsin Rapids, WI 54494-1908 | |
(715) 424-8600 | |
(715) 424-8341 |
Full Name | Christopher Previn Peck |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 22 Years |
Location | 220 24th St S, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912959313 | NPI | - | NPPES |
34825000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 47070 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 48720 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 48720-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spooner Health System | Spooner, WI | Hospital |
Mile Bluff Medical Center | Mauston, WI | Hospital |
North Memorial Health | Robbinsdale, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olmsted Medical Center | 8527970060 | 265 |
Mchs Hospitals Inc | 5698071173 | 1030 |
Mile Bluff Medical Center Inc | 8527971399 | 72 |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Entity Name | Avera Marshall |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
Entity Name | Range Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Entity Name | Unity Family Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
Entity Name | Olmsted Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952356297 PECOS PAC ID: 8527970060 Enrollment ID: O20031119000240 |
Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
Entity Name | Winona Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Entity Name | Mille Lacs Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Entity Name | Unity Family Healthcare |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
Entity Name | Deer River Healthcare Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20061104000444 |
Entity Name | Essentia Health Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
Mailing Address | Practice Location Address |
---|---|
Christopher Previn Peck, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Christopher Previn Peck, MD 220 24th St S, Wisconsin Rapids, WI 54494-1908 Ph: (715) 424-8600 |
Etta Lovitt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 410 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-423-6060 Fax: 715-421-7517 | |
Dr. Bruce David Gordon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Dewey St, Wisconsin Rapids, WI 54495 Phone: 715-423-6060 Fax: 715-421-7517 | |
Dr. James Alfred Patterson Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Dewey St, Wisconsin Rapids, WI 54495 Phone: 715-423-6060 Fax: 715-421-7517 | |
Dr. John Charles Whitman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Dewey St, Wisconsin Rapids, WI 54495 Phone: 715-423-6060 Fax: 715-421-7517 |