Dr Caleb Paul Peck, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Norwich, Connecticut. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Connecticut Neuropsychological Associates Llc and his current practice location is
150 Otrobando Ave, Norwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 889-7274.
Dr Caleb Paul Peck is licensed to practice in Connecticut (license number 003313) 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 1750699070.
Healthcare Provider's Profile
| Full Name | Dr Caleb Paul Peck |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 150 Otrobando Ave, Norwich, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Caleb Paul Peck graduated from medical school in 2011
NPI Data:
- NPI Number: 1750699070
- Provider Enumeration Date: 09/21/2010
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890921563
- Enrollment ID: I20131202001796
Medical Identifiers
Medical identifiers for Dr Caleb Paul Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750699070 | NPI | - | NPPES |
| 008033136 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 003313 (Connecticut) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1364 (Kansas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 003313 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Connecticut Neuropsychological Associates Llc | 9638494446 | 8 |
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 Caleb Paul Peck allows following entities to bill medicare on his behalf.
| Entity Name | Connecticut Neuropsychological Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497151245
PECOS PAC ID: 9638494446
Enrollment ID: O20150218001608 |
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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 Caleb Paul 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 Caleb Paul Peck, PSYD
150 Otrobando Ave,
Norwich, CT 06360-2116
Ph: (860) 889-7274 | Dr Caleb Paul Peck, PSYD
150 Otrobando Ave,
Norwich, CT 06360-2116
Ph: (860) 889-7274 |
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