Jonathan Peach, DNP, ARNP, FNP-BC in Lake Mary, FL

Jonathan Peach, DNP, ARNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Mary, Florida. His current practice location is 2768 W Lake Mary Blvd, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 878-3208.

Jonathan Peach is licensed to practice in Florida (license number ARNP9288493) 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 1316375041.

Contact Information

	Jonathan Peach, DNP, ARNP, FNP-BC
	2768 W Lake Mary Blvd, Lake Mary, FL 32746-3524
	(407) 878-3208
	(321) 234-0229

Map and Direction

Provider's Profile

Full Name	Jonathan Peach
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2768 W Lake Mary Blvd, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316375041
Provider Enumeration Date: 10/15/2013
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9335366111
Enrollment ID: I20140819001619

Medical Identifiers

Medical identifiers for Jonathan Peach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316375041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9288493 (Florida)	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. Jonathan Peach allows following entities to bill medicare on his behalf.

Entity Name	Florida Health Care Of Brevard
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598323461 PECOS PAC ID: 7911239108 Enrollment ID: O20191021001559

Entity Name	Total Care Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285212050 PECOS PAC ID: 1052716875 Enrollment ID: O20210817002828

Entity Name	Top Medspa & Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090694 PECOS PAC ID: 8729451935 Enrollment ID: O20230308001532

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. Jonathan Peach 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
Jonathan Peach, DNP, ARNP, FNP-BC 2768 W Lake Mary Blvd, Lake Mary, FL 32746-3524 Ph: (407) 878-3208	Jonathan Peach, DNP, ARNP, FNP-BC 2768 W Lake Mary Blvd, Lake Mary, FL 32746-3524 Ph: (407) 878-3208

Reviews and Comments

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Jonathan Peach, DNP, ARNP, FNP-BC - Medicare Nurse Practitioner in Lake Mary, FL