Jason Russell Peck, MD in Columbia, SC

Jason Russell Peck, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Columbia, South Carolina. His current practice location is 9 Richland Medical Park Dr Ste 530, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 434-4603.

Jason Russell Peck is licensed to practice in South Carolina (license number 33116) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235290693.

Contact Information

	Jason Russell Peck, MD
	9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870
	(803) 434-4603
	(803) 434-3866

Map and Direction

Physician's Profile

Full Name	Jason Russell Peck
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	9 Richland Medical Park Dr Ste 530, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235290693
Provider Enumeration Date: 12/12/2006
Last Update Date: 03/23/2018

Medicare PECOS Information:

PECOS PAC ID: 8820180326
Enrollment ID: I20111222000488

Medical Identifiers

Medical identifiers for Jason Russell Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235290693	NPI	-	NPPES
31162	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	33116 (South Carolina)	Secondary
208000000X	Pediatrics	L8471 (Texas)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	45451 (Colorado)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	33116 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason Russell Peck allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Russell Peck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason Russell Peck, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 269-7320	Jason Russell Peck, MD 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 Ph: (803) 434-4603

Reviews and Comments

Pediatrics Doctors in Columbia, SC

Argiri X Brook, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558
Dr. Robert Glendon Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Woodpine Ct, Columbia, SC 29212 Phone: 803-732-5572 Fax: 803-732-5572
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229
Michael Cory Lever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979

Jason Russell Peck, MD - Medicare Pediatrics in Columbia, SC