Jill K Peysha, in Willoughby, OH

Jill K Peysha, is a medicare enrolled "Surgery" physician in Willoughby, Ohio. Her current practice location is 5105 Som Center Rd #107, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 953-5712.

Jill K Peysha is licensed to practice in Virginia (license number 0101269063) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295155786.

Contact Information

	Jill K Peysha,
	5105 Som Center Rd #107, Willoughby, OH 44094
	(440) 953-5712
	(440) 953-5713

Map and Direction

Physician's Profile

Full Name	Jill K Peysha
Gender	Female
Speciality	Surgery
Location	5105 Som Center Rd #107, Willoughby, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295155786
Provider Enumeration Date: 04/23/2014
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0547480683
Enrollment ID: I20221025003342

Medical Identifiers

Medical identifiers for Jill K Peysha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295155786	NPI	-	NPPES
35.146110	Other	OH	OHIO ELICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0101269063 (Virginia)	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. Jill K Peysha allows following entities to bill medicare on her behalf.

Entity Name	Lake Hospital System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963

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. Jill K Peysha 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
Jill K Peysha, 1250 E. Marshall St, Box 980135, Richmond, VA 23298 Ph: (804) 828-7391	Jill K Peysha, 5105 Som Center Rd #107, Willoughby, OH 44094 Ph: (440) 953-5712

Reviews and Comments

Surgery Doctors in Willoughby, OH

William J Petraiuolo, MD Surgery Medicare: Medicare Enrolled Practice Location: 36060 Euclid Ave, Suite 204, Willoughby, OH 44094 Phone: 440-602-6553 Fax: 440-602-6566
Dr. Mark Goldberg, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 36001 Euclid Ave, Suite B-6, Willoughby, OH 44094 Phone: 440-953-2500 Fax: 440-953-2772
Aviv Ben-meir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 36100 Euclid Ave Ste 170, Willoughby, OH 44094 Phone: 440-602-6737 Fax: 440-942-0316
Boris Vinogradsky, MD Surgery Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave Ste 330b, Willoughby, OH 44094 Phone: 440-953-8055 Fax: 440-953-0242
Dr. Sean Mcphillips, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5734 Amber Ct, Willoughby, OH 44094 Phone: 216-215-8377
Richard Stein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 107, Willoughby, OH 44094 Phone: 440-953-5712 Fax: 440-953-5713

Jill K Peysha, - Medicare Surgery in Willoughby, OH