Laura Peck, | |
515 E Grant St Ste 211, Macomb, IL 61455-3378 | |
(309) 833-3706 | |
Not Available |
Full Name | Laura Peck |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 9 Years |
Location | 515 E Grant St Ste 211, Macomb, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699159558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TL.005462 (Colorado) | Secondary |
208600000X | Surgery | 5101025446 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mc Donough District Hospital | Macomb, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcdonough County Hospital District | 0446140180 | 38 |
Entity Name | Mcdonough County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609180082 PECOS PAC ID: 0446140180 Enrollment ID: O20090407000082 |
Mailing Address | Practice Location Address |
---|---|
Laura Peck, 22508 Overlake St, Saint Clair Shores, MI 48080-3852 Ph: () - | Laura Peck, 515 E Grant St Ste 211, Macomb, IL 61455-3378 Ph: (309) 833-3706 |
Olivia M White, MD Surgery Medicare: Medicare Enrolled Practice Location: 515 E Grant St Ste 211, Macomb, IL 61455 Phone: 309-833-3706 Fax: 309-836-1039 | |
Dr. James Joseph Gonzales, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St, Ste 211, Macomb, IL 61455 Phone: 309-833-3706 | |
Dr. Edwin L Card, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St, Suite 211, Macomb, IL 61455 Phone: 309-833-3706 |