Jeremiah Daniel Peck, CRNA - Medicare Nurse Anesthetist, Certified Registered in Birmingham, AL

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Jeremiah Daniel Peck, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Birmingham, Alabama. His current practice location is 2010 Brookwood Medical Ctr Dr, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 989-1080.

Jeremiah Daniel Peck is licensed to practice in Alabama (license number 1-094883) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437210986.

Contact Information

Jeremiah Daniel Peck, CRNA
2010 Brookwood Medical Ctr Dr,
Birmingham, AL 35209-6804
(205) 989-1080
(205) 989-1087

Map and Direction




Provider's Profile

Full NameJeremiah Daniel Peck
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2010 Brookwood Medical Ctr Dr, Birmingham, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437210986
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3577665348
  • Enrollment ID: I20070226000164

Medical Identifiers

Medical identifiers for Jeremiah Daniel Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437210986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-094883 (Alabama)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. Jeremiah Daniel Peck allows following entities to bill medicare on his behalf.
Entity NameSouthern Perioperative Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740233394
PECOS PAC ID: 9234041815
Enrollment ID: O20031103000290
Entity NameAnesthesiologists Associated Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851371850
PECOS PAC ID: 6204739519
Enrollment ID: O20040202000465
Entity NameGastroenterology Associates Of North-central Alabama Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528080595
PECOS PAC ID: 3072591478
Enrollment ID: O20040712001151
Entity NameThe Sylacauga Health Care Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124235320
PECOS PAC ID: 5294710398
Enrollment ID: O20040727001079
Entity NameBirmingham Gastroenterology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366406514
PECOS PAC ID: 9537107594
Enrollment ID: O20050420000545
Entity NameAmbulatory Anesthesia & Pain Medicine, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371839
PECOS PAC ID: 3971513813
Enrollment ID: O20060421000517

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. Jeremiah Daniel 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 AddressPractice Location Address
Jeremiah Daniel Peck, CRNA
2151 Old Rocky Ridge Rd, Suite 106,
Birmingham, AL 35216-6101

Ph: (205) 989-1080		Jeremiah Daniel Peck, CRNA
2010 Brookwood Medical Ctr Dr,
Birmingham, AL 35209-6804

Ph: (205) 989-1080

Reviews and Comments


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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.