Miss Kelly Carol Peng, DO is a medicare enrolled "Military Health Care Provider" physician in Oceanside, California. Her current practice location is
200 Mercy Circle, Emergency Medicine Department, Oceanside, California. You can reach out to her office (for appointments etc.) via phone at
(760) 719-3994.
Miss Kelly Carol Peng is licensed to practice in Virginia (license number 0102203540) 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 1013280718.
Physician's Profile
Full Name | Miss Kelly Carol Peng |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | 200 Mercy Circle, Oceanside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013280718
- Provider Enumeration Date: 02/12/2012
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375999212
- Enrollment ID: I20231027003029
Medical Identifiers
Medical identifiers for Miss Kelly Carol Peng such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013280718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 0102203540 (Virginia) | Secondary |
171000000X | Military Health Care Provider | 0102203540 (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. Miss Kelly Carol Peng allows following entities to bill medicare on her behalf.
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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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. Miss Kelly Carol Peng 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 |
Miss Kelly Carol Peng, DO 200 Mercy Circle, Emergency Medicine Department, Oceanside, CA 92055 Ph: (760) 719-3994 | Miss Kelly Carol Peng, DO 200 Mercy Circle, Emergency Medicine Department, Oceanside, CA 92055 Ph: (760) 719-3994 |
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