Mr Charles Leroy Peacock, CRNA in Lawrenceville, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Charles Leroy Peacock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceville, Georgia. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Capital City Anesthesia Group and his current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 442-4321.

Mr Charles Leroy Peacock is licensed to practice in Georgia (license number RN182133 CRNA) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063548964.

Contact Information

	Mr Charles Leroy Peacock, CRNA
	1000 Medical Center Blvd, Lawrenceville, GA 30045-7694
	(678) 442-4321
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charles Leroy Peacock
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Leroy Peacock graduated from nursing school in 2014

NPI Data:

NPI Number: 1063548964
Provider Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355447202
Enrollment ID: I20140731001161

Medical Identifiers

Medical identifiers for Mr Charles Leroy Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063548964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN182133 CRNA (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baton Rouge General Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Capital City Anesthesia Group	1658272844	57

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. Mr Charles Leroy Peacock allows following entities to bill medicare on his behalf.

Entity Name	Ochsner Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513

Entity Name	The Capital City Anesthesia Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494

Entity Name	Childrens Hospital Anesthesia Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

Entity Name	University Medical Center Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137

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. Mr Charles Leroy 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
Mr Charles Leroy Peacock, CRNA 840 Connell Ln, Lawrenceville, GA 30044-6123 Ph: (770) 736-5173	Mr Charles Leroy Peacock, CRNA 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 Ph: (678) 442-4321

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lawrenceville, GA

John G Bojack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
John D Singleton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
Dr. Souleymane Kabore, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000
Allison Reinecke Hodge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905
Jennifer D Del Bagno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244
Elizabeth A Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244

Mr Charles Leroy Peacock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lawrenceville, GA