Gary L Peck, MD | |
5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815-6917 | |
(301) 652-4828 | |
(301) 652-2070 |
Full Name | Gary L Peck |
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Gender | Male |
Speciality | Dermatology |
Location | 5454 Wisconsin Ave, Chevy Chase, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710933890 | NPI | - | NPPES |
118281101 | Medicaid | MD | |
025751800 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD25243 (District Of Columbia) | Primary |
Entity Name | Dermatologic Surgery Center Of Washington, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326121435 PECOS PAC ID: 1355347402 Enrollment ID: O20081029000059 |
Mailing Address | Practice Location Address |
---|---|
Gary L Peck, MD 5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815-6917 Ph: (301) 652-4828 | Gary L Peck, MD 5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815-6917 Ph: (301) 652-4828 |
Dr. Brenda Jean Berberian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5530 Wisconsin Ave, Suite 1443, Chevy Chase, MD 20815 Phone: 301-656-7660 Fax: 301-656-0634 | |
Dr. Panteha Tamjidi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815 Phone: 301-652-4828 Fax: 301-652-2070 | |
Dr. Geeta Mohla Shah, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5471 Wisconsin Ave Ste 200, Chevy Chase, MD 20815 Phone: 301-798-9699 Fax: 240-802-2993 | |
Dr. Min Deng, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5530 Wisconsin Ave Ste 730, Chevy Chase, MD 20815 Phone: 301-951-2400 Fax: 301-951-2401 | |
Allison R Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5530 Wisconsin Ave Ste 730, Chevy Chase, MD 20815 Phone: 301-951-2400 Fax: 301-951-2401 | |
Peter C Morse, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5425 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815 Phone: 301-634-1411 Fax: 301-634-1425 | |
Dr. Mana Ogholikhan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8401 Connecticut Ave Ste 210, Chevy Chase, MD 20815 Phone: 240-482-2555 |