Mark Kevin Peebles, PA-C is a medicare enrolled "Physician Assistant" in Seymour, Missouri. His current practice location is
418 W Steel St, Seymour, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 935-2239.
Mark Kevin Peebles is licensed to practice in Missouri (license number 2011011364) 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 1275743841.
Provider's Profile
Full Name | Mark Kevin Peebles |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 418 W Steel St, Seymour, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275743841
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 02/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799848131
- Enrollment ID: I20110726000899
Medical Identifiers
Medical identifiers for Mark Kevin Peebles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275743841 | NPI | - | NPPES |
PENDING | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1629 (Oklahoma) | Secondary |
363A00000X | Physician Assistant | 2011011364 (Missouri) | 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. Mark Kevin Peebles 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 |
Mark Kevin Peebles, PA-C 418 W Steel St, Seymour, MO 65746-8832 Ph: (417) 935-2239 | Mark Kevin Peebles, PA-C 418 W Steel St, Seymour, MO 65746-8832 Ph: (417) 935-2239 |
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