Robert J Peacock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ionia, Michigan. His current practice location is
479 Lafayette St, Ionia, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 527-4200.
Robert J Peacock is licensed to practice in Michigan (license number 4704137243) 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 1912941865.
Provider's Profile
Full Name | Robert J Peacock |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 479 Lafayette St, Ionia, Michigan |
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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: 1912941865
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507930336
- Enrollment ID: I20080728000767
Medical Identifiers
Medical identifiers for Robert J Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912941865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 4704137243 (Michigan) | 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. Robert J Peacock allows following entities to bill medicare on his behalf.
Entity Name | Ascension Borgess Lee Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20060228000470 |
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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. Robert J 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 |
Robert J Peacock, CRNA Po Box 1001, Ionia, MI 48846-6001 Ph: (616) 527-4200 | Robert J Peacock, CRNA 479 Lafayette St, Ionia, MI 48846-1834 Ph: (616) 527-4200 |
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