Karen Ruth Peck, LCDC II, LPN is a
Counselor - Addiction (substance Use Disorder) based in Athens, Ohio. Karen Ruth Peck is licensed to practice in Ohio (license number 161382) and her current practice location is
86 Columbus Rd Ste 103, Athens, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 594-2276.
NPI number for Karen Ruth Peck is 1255840237 and her current mailing address is 86 Columbus Rd Ste 103, Athens, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255840237.
Provider's Profile
| Full Name | Karen Ruth Peck |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 86 Columbus Rd Ste 103, Athens, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255840237
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Karen Ruth Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255840237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 102672 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161382 (Ohio) | Primary |
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. Karen Ruth Peck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Karen Ruth Peck, LCDC II, LPN
86 Columbus Rd Ste 103,
Athens, OH 45701-1331
Ph: (740) 594-2276 | Karen Ruth Peck, LCDC II, LPN
86 Columbus Rd Ste 103,
Athens, OH 45701-1331
Ph: (740) 594-2276 |
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