Dr John Edward Peacock Iii, DO | |
10000 Shannondell Dr, Audubon, PA 19403-5615 | |
(610) 728-5241 | |
(610) 728-5322 |
Full Name | Dr John Edward Peacock Iii |
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Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 10000 Shannondell Dr, Audubon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881763613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | OS014770 (Pennsylvania) | Primary |
207Q00000X | Family Medicine | OS014770 (Pennsylvania) | Secondary |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
---|---|
Dr John Edward Peacock Iii, DO 10000 Shannondell Dr, Audubon, PA 19403-5615 Ph: (610) 728-5241 | Dr John Edward Peacock Iii, DO 10000 Shannondell Dr, Audubon, PA 19403-5615 Ph: (610) 728-5241 |
Dr. Natu R Patel, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2792 Egypt Road, Audubon, PA 19403 Phone: 610-666-9240 Fax: 610-666-1808 | |
Dr. Manjit Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 Shannondell Dr, Audubon, PA 19403 Phone: 610-728-5241 Fax: 610-728-5322 | |
Nilesh V. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2793 Egypt Rd, Suite 409, Audubon, PA 19403 Phone: 610-666-1400 Fax: 610-666-1445 | |
Dr. Merlyn Ancilla Johnson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2792 Egypt Rd, Audubon, PA 19403 Phone: 610-666-9240 Fax: 610-666-1808 | |
Dana Burkholder, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20000 Shannondell Dr, Audubon, PA 19403 Phone: 484-392-4045 Fax: 484-392-4049 |