Dr John J Peckham, MD, | |
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
(619) 460-5111 | |
(619) 460-7815 |
Full Name | Dr John J Peckham |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 5555 Grossmont Center Dr, La Mesa, California |
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 |
---|---|---|---|
1538206131 | NPI | - | NPPES |
00A611600 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A61160 (California) | Primary |
207L00000X | Anesthesiology | MD217563 (Oregon) | Secondary |
207L00000X | Anesthesiology | 101666-875 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Community Hospital West Bend | West bend, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Dr John J Peckham, MD, Po Box 3617, La Mesa, CA 91944-3617 Ph: (619) 460-5111 | Dr John J Peckham, MD, 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 460-5111 |
John Claus, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815 | |
Dr. Thach D. Mai, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815 | |
Aida Tesfaye-kedjela, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8141 Vista Dr, La Mesa, CA 91941 Phone: 267-235-8252 | |
Dr. Michael Henry Verdolin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7051 Alvarado Rd, Suite 101, La Mesa, CA 91942 Phone: 619-625-1144 Fax: 619-872-0964 | |
Ronald M Levin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy Ste 100, La Mesa, CA 91942 Phone: 619-698-0930 | |
Forrest B. Allen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9790 Marky Way, La Mesa, CA 91941 Phone: 619-985-1002 |