Jere Dillon Peak Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA

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Jere Dillon Peak Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Vaughan Regional Anesthesia Llc, Tombigbee Healthcare Authority, Ambulatory Anesthesia Associates Of Montgomery, Pc and his current practice location is 2655 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 643-5619.

Jere Dillon Peak Jr is licensed to practice in Alabama (license number 1-106280) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699140095.

Contact Information

Jere Dillon Peak Jr, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280
(770) 643-5619
Not Available

Map and Direction




Provider's Profile

Full NameJere Dillon Peak Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location2655 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jere Dillon Peak Jr graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1699140095
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 08/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769785658
  • Enrollment ID: I20160127001324

Medical Identifiers

Medical identifiers for Jere Dillon Peak Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699140095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1-106280 (Alabama)Secondary
367500000XNurse Anesthetist, Certified Registered 1-106280 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vaughan Regional Medical Center Parkway CampusSelma, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vaughan Regional Anesthesia Llc20628301284
Tombigbee Healthcare Authority670987323540
Ambulatory Anesthesia Associates Of Montgomery, Pc812392173113

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. Jere Dillon Peak Jr allows following entities to bill medicare on his behalf.
Entity NameVaughan Regional Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114088846
PECOS PAC ID: 0143134171
Enrollment ID: O20031114000230
Entity NamePremier Anesthesia Of Montgomery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780636233
PECOS PAC ID: 5799684148
Enrollment ID: O20040105000491
Entity NameAmbulatory Anesthesia Associates Of Montgomery, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639130537
PECOS PAC ID: 8123921731
Enrollment ID: O20040130000528
Entity NameSylacauga Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700843869
PECOS PAC ID: 9234021619
Enrollment ID: O20040329001390
Entity NameTombigbee Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578690327
PECOS PAC ID: 6709873235
Enrollment ID: O20040427001551
Entity NameVaughan Regional Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639792153
PECOS PAC ID: 2062830128
Enrollment ID: O20200922002054

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. Jere Dillon Peak Jr 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 AddressPractice Location Address
Jere Dillon Peak Jr, CRNA
2105 E South Blvd,
Montgomery, AL 36116-2409

Ph: (770) 643-5619		Jere Dillon Peak Jr, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280

Ph: (770) 643-5619

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Alpharetta, GA

Rae Wood Grimsley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    
Joshua A Getzinger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    
Shelby Pope, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    
Monica E Burrell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005
Phone: 770-645-9181    Fax: 770-645-8455
Tyrena Burroughs, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    
Roviena J Royulada-ycu, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    
Corey Colley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-643-5619    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.