Dr Anastasia Hiromi Peck, is a medicare enrolled "Physical Therapist" provider in King City, California. Her current practice location is
300 Canal St, King City, California. You can reach out to her office (for appointments etc.) via phone at
(831) 385-6000.
Dr Anastasia Hiromi Peck is licensed to practice in California (license number 292306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073027413.
Healthcare Provider's Profile
| Full Name | Dr Anastasia Hiromi Peck |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 300 Canal St, King City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073027413
- Provider Enumeration Date: 11/21/2017
- Last Update Date: 12/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759788672
- Enrollment ID: I20210920003103
Medical Identifiers
Medical identifiers for Dr Anastasia Hiromi Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073027413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 292306 (California) | 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. Dr Anastasia Hiromi Peck allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Anastasia Hiromi Peck 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 |
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Dr Anastasia Hiromi Peck,
135 Juanita Ct,
Vallejo, CA 94590-3426
Ph: (808) 646-1323 | Dr Anastasia Hiromi Peck,
300 Canal St,
King City, CA 93930-3431
Ph: (831) 385-6000 |
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