Mr Shannon R Peck, MD in Sioux Falls, SD - Medicare Diagnostic Radiology

Mr Shannon R Peck, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Sioux Falls, South Dakota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sanford Clinic and his current practice location is 1210 W 18th St, Ste Ll03, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 328-1410.

Mr Shannon R Peck is licensed to practice in South Dakota (license number 8389) 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 1083819650.

Contact Information

	Mr Shannon R Peck, MD
	1210 W 18th St, Ste Ll03, Sioux Falls, SD 57104-4647
	(605) 328-1410
	(605) 328-1412

Map and Direction

Physician's Profile

Full Name	Mr Shannon R Peck
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	1210 W 18th St, Sioux Falls, South Dakota
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:

Mr Shannon R Peck graduated from medical school in 2005

NPI Data:

NPI Number: 1083819650
Provider Enumeration Date: 06/15/2007
Last Update Date: 07/01/2019

Medicare PECOS Information:

PECOS PAC ID: 2668513276
Enrollment ID: I20120920000191

Medical Identifiers

Medical identifiers for Mr Shannon R Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083819650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	8389 (South Dakota)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	8389 (South Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Usd Medical Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Clinic	0244143824	228

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. Mr Shannon R Peck allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532

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. Mr Shannon R 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
Mr Shannon R Peck, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Mr Shannon R Peck, MD 1210 W 18th St, Ste Ll03, Sioux Falls, SD 57104-4647 Ph: (605) 328-1410

Reviews and Comments

Radiology Doctors in Sioux Falls, SD

Dr. Megan E Albertson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4878
Dr. Andrew Jay Erie, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 Phone: 605-328-1410
John P Reinschmidt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St, Sioux Falls, SD 57104 Phone: 605-328-3150 Fax: 605-328-3160
Dr. Khalil A Yousef, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St, Ste Ll03, Sioux Falls, SD 57104 Phone: 605-328-1410 Fax: 605-328-1412
Collin Noldner, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 E 23rd St Ste 100, Sioux Falls, SD 57105 Phone: 605-322-1625
Mr. Edward J Czarnecki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St, Ste Ll03, Sioux Falls, SD 57104 Phone: 605-328-1410 Fax: 605-328-1412

Mr Shannon R Peck, MD - Medicare Diagnostic Radiology in Sioux Falls, SD