Michael James Peacock, is a
Case Manager/care Coordinator based in Tehachapi, California. Michael James Peacock is licensed to practice in * (Not Available) (license number ) and his current practice location is
113 E F St, Tehachapi, California. He can be reached at his office (for appointments etc.) via phone at
(661) 822-8223.
NPI number for Michael James Peacock is 1538613948 and his current mailing address is 113 E F St, Tehachapi, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538613948.
Healthcare Provider's Profile
| Full Name | Michael James Peacock |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 113 E F St, Tehachapi, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538613948
- Provider Enumeration Date: 08/15/2016
- Last Update Date: 03/13/2019
Medical Identifiers
Medical identifiers for Michael James Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538613948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6301016803 (Michigan) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Michael James Peacock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael James Peacock,
113 E F St,
Tehachapi, CA 93561-1710
Ph: () - | Michael James Peacock,
113 E F St,
Tehachapi, CA 93561-1710
Ph: (661) 822-8223 |
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