Michael Shannon Peattie, MD is a medicare enrolled "Internal Medicine" physician in Lucedale, Mississippi. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Premier Anesthesia Of Montgomery Pc and his current practice location is
859 Winter St, Lucedale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 947-3161.
Michael Shannon Peattie is licensed to practice in Mississippi (license number 16500) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578508859.
Physician's Profile
Full Name | Michael Shannon Peattie |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 28 Years |
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Location | 859 Winter St, Lucedale, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Shannon Peattie graduated from medical school in 1996
NPI Data:
- NPI Number: 1578508859
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 02/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 0446297253
- Enrollment ID: I20050413000753
Medical Identifiers
Medical identifiers for Michael Shannon Peattie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578508859 | NPI | - | NPPES |
06800711 | Medicaid | MS | |
051526716 | Medicaid | AL | |
51526716 | Other | AL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 26508 (Alabama) | Secondary |
207R00000X | Internal Medicine | 16500 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Premier Anesthesia Of Montgomery Pc | 5799684148 | 83 |
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. Michael Shannon Peattie allows following entities to bill medicare on his behalf.
Entity Name | Premier Anesthesia Of Montgomery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
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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. Michael Shannon Peattie 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 |
Michael Shannon Peattie, MD Po Box 1007, Lucedale, MS 39452-1007 Ph: (228) 327-5453 | Michael Shannon Peattie, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 |
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