Mrs Gwyneth Peacock, MS CCC-SLP in Auburn, ME - Medicare Speech-Language Pathologist Provider

Mrs Gwyneth Peacock, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Auburn, Maine. Her current practice location is 440 Minot Ave, Auburn, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 784-3573.

Mrs Gwyneth Peacock is licensed to practice in Maine (license number SP3465) 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 1174284236.

Contact Information

	Mrs Gwyneth Peacock, MS CCC-SLP
	440 Minot Ave, Auburn, ME 04210-4332
	(207) 784-3573
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Gwyneth Peacock
Gender	Female
Speciality	Speech-language Pathologist
Location	440 Minot Ave, Auburn, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174284236
Provider Enumeration Date: 12/31/2021
Last Update Date: 12/31/2021

Medicare PECOS Information:

PECOS PAC ID: 8921495862
Enrollment ID: I20220425001247

Medical Identifiers

Medical identifiers for Mrs Gwyneth Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174284236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP3465 (Maine)	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. Mrs Gwyneth Peacock allows following entities to bill medicare on her behalf.

Provider Name	Preferred Therapy Outpatient Services Of Me, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043973589 PECOS PAC ID: 0345639001 Enrollment ID: O20211118000564

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. Mrs Gwyneth 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
Mrs Gwyneth Peacock, MS CCC-SLP 78 Lamb St Apt 1, Westbrook, ME 04092-4206 Ph: (603) 781-2057	Mrs Gwyneth Peacock, MS CCC-SLP 440 Minot Ave, Auburn, ME 04210-4332 Ph: (207) 784-3573

Reviews and Comments

Speech-Language Pathologist in Auburn, ME

Alyssa Rose Schaff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022
Lori Groves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022 Fax: 207-333-3501
Mallory Christine Cooper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 589 Minot Ave, Auburn, ME 04210 Phone: 207-443-3341 Fax: 207-777-1205
Kate Bridgham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022
Johnna Charlton, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Center St Ste 9, Auburn, ME 04210 Phone: 207-783-3450
Miss Danielle Claire Gagne, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Mayfield Rd, Auburn, ME 04210 Phone: 207-312-3674

Mrs Gwyneth Peacock, MS CCC-SLP - Medicare Speech-Language Pathologist in Auburn, ME