Audrey Lynn Peckham, in Whitesboro, NY - Medicare Nurse Practitioner

Audrey Lynn Peckham, is a medicare enrolled "Nurse Practitioner" in Whitesboro, New York. Her current practice location is 105 Garretts Grv, Whitesboro, New York. You can reach out to her office (for appointments etc.) via phone at (315) 939-0320.

Audrey Lynn Peckham is licensed to practice in New York (license number 350234) 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 1174255798.

Contact Information

	Audrey Lynn Peckham,
	105 Garretts Grv, Whitesboro, NY 13492-3218
	(315) 939-0320
	Not Available

Map and Direction

Provider's Profile

Full Name	Audrey Lynn Peckham
Gender	Female
Speciality	Nurse Practitioner
Location	105 Garretts Grv, Whitesboro, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174255798
Provider Enumeration Date: 06/30/2022
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6002284254
Enrollment ID: I20221121000844

Medical Identifiers

Medical identifiers for Audrey Lynn Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174255798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	350234 (New York)	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. Audrey Lynn Peckham allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physician Services Of New York, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684

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. Audrey Lynn Peckham 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
Audrey Lynn Peckham, 105 Garretts Grv, Whitesboro, NY 13492-3218 Ph: () -	Audrey Lynn Peckham, 105 Garretts Grv, Whitesboro, NY 13492-3218 Ph: (315) 939-0320

Reviews and Comments

Nurse Practitioner Nurses in Whitesboro, NY

Barbara Rodriguez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Whitesboro, NY 13492 Phone: 315-624-8800
Mrs. Olivia Renee Honeck, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 238 Oriskany Blvd, Whitesboro, NY 13492 Phone: 315-768-7181
Ms. Claudia Nicole Bailey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Main St, Whitesboro, NY 13492 Phone: 315-624-8800
Cristin Kirkland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Main St, Whitesboro, NY 13492 Phone: 315-624-8800 Fax: 315-624-8810
Svetlana Baluk, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Main St., Whitesboro, NY 13492 Phone: 315-736-9337
Jasna Sabic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Whitesboro, NY 13492 Phone: 315-624-8800

Audrey Lynn Peckham, - Medicare Nurse Practitioner in Whitesboro, NY