Dr Mica Peacock, DPT in San Rafael, CA - Medicare Physical Therapy Provider

Dr Mica Peacock, DPT is a medicare enrolled "Physical Therapist" provider in San Rafael, California. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Stac Physical Therapy Emeryville Inc. and her current practice location is 1099 D St Ste 105, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 532-8335.

Dr Mica Peacock is licensed to practice in California (license number PT300982) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1538831979.

Contact Information

	Dr Mica Peacock, DPT
	1099 D St Ste 105, San Rafael, CA 94901-2839
	(415) 532-8335
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mica Peacock
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	1099 D St Ste 105, San Rafael, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mica Peacock graduated from medical school in 2021

NPI Data:

NPI Number: 1538831979
Provider Enumeration Date: 10/04/2021
Last Update Date: 10/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2163813783
Enrollment ID: I20211215001365

Medical Identifiers

Medical identifiers for Dr Mica Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538831979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT300982 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stac Physical Therapy Emeryville Inc.	3971853938	4

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 Mica Peacock allows following entities to bill medicare on her behalf.

Provider Name	Stac Physical Therapy Emeryville Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326527730 PECOS PAC ID: 3971853938 Enrollment ID: O20180912002586

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 Mica 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
Dr Mica Peacock, DPT 1099 D St Ste 105, San Rafael, CA 94901-2839 Ph: () -	Dr Mica Peacock, DPT 1099 D St Ste 105, San Rafael, CA 94901-2839 Ph: (415) 532-8335

Reviews and Comments

Physical Therapist in San Rafael, CA

Regents Of The University Of California Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 206, San Rafael, CA 94903 Phone: 415-353-7598
Leela Satyendra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4050 Redwood Hwy Ste G, San Rafael, CA 94903 Phone: 415-479-7100
Dr. Rachel Wolfe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N San Pedro Rd, 3rd Floor, San Rafael, CA 94903 Phone: 415-491-4751 Fax: 415-491-4754
Cale Engelhardt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2543
Ms. Mary Margaret Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2883
Nancy Aduna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Del Ganado Rd, San Rafael, CA 94903 Phone: 415-479-1209 Fax: 415-446-4476
Julia Sylvie Betchart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-2000

Dr Mica Peacock, DPT - Medicare Physical Therapist in San Rafael, CA