Kimberly L Peacock, CRNA in Valdosta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Kimberly L Peacock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Valdosta, Georgia. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Jefferson City Medical Group Pc and her current practice location is 4280 N Valdosta Rd, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 671-2066.

Kimberly L Peacock is licensed to practice in Missouri (license number 127617) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942347919.

Contact Information

	Kimberly L Peacock, CRNA
	4280 N Valdosta Rd, Valdosta, GA 31602-6814
	(229) 671-2066
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly L Peacock
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	4280 N Valdosta Rd, Valdosta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly L Peacock graduated from nursing school in 2000

NPI Data:

NPI Number: 1942347919
Provider Enumeration Date: 01/31/2007
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3274616032
Enrollment ID: I20190828003085

Medical Identifiers

Medical identifiers for Kimberly L Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942347919	NPI	-	NPPES
175118	Other	MO	MO BLUE SHIELD
915080105	Medicaid	MO
98727	Other	AR	ARK BLUE SHIELD
141532701	Medicaid	AR
233419908B	Medicaid	GA
233419908A	Medicaid	GA
233419908C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN193082 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	127617 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson City Medical Group Pc	1850371089	100

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. Kimberly L Peacock allows following entities to bill medicare on her behalf.

Entity Name	Jefferson City Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924

Entity Name	Orthomed Staffing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502

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. Kimberly L Peacock 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
Kimberly L Peacock, CRNA Po Box 8846, Greensboro, NC 27419-0846 Ph: (336) 553-1659	Kimberly L Peacock, CRNA 4280 N Valdosta Rd, Valdosta, GA 31602-6814 Ph: (229) 671-2066

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Valdosta, GA

Michael Shane Exum, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-244-6852
John C Pike, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385
Mr. William A Welch Sr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4280 N Valdosta Rd, Dept Of Anesthesia, Valdosta, GA 31602 Phone: 229-671-2066
Jeffery Allan Baggett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000
Francis J Norman Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385
Joshua Peter Shea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385
Mark Arthur Pleasants, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Northside Dr, Valdosta, GA 31602 Phone: 229-242-3002 Fax: 229-242-0644

Kimberly L Peacock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Valdosta, GA