Nichole Peck, in Plano, TX - Medicare Speech-Language Pathologist Provider

Nichole Peck, is a medicare enrolled "Speech-language Pathologist" provider in Plano, Texas. Her current practice location is 2800 W 15th St, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 612-9000.

Nichole Peck is licensed to practice in Texas (license number 17514) 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 1356824544.

Contact Information

	Nichole Peck,
	2800 W 15th St, Plano, TX 75075-7526
	(972) 612-9000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Peck
Gender	Female
Speciality	Speech-language Pathologist
Location	2800 W 15th St, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356824544
Provider Enumeration Date: 09/13/2018
Last Update Date: 09/13/2018

Medicare PECOS Information:

PECOS PAC ID: 0042689051
Enrollment ID: I20221214002110

Medical Identifiers

Medical identifiers for Nichole Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356824544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	17514 (Texas)	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. Nichole Peck allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261

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. Nichole 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
Nichole Peck, 328 Island Bay Dr, Coppell, TX 75019-5663 Ph: (817) 300-0125	Nichole Peck, 2800 W 15th St, Plano, TX 75075-7526 Ph: (972) 612-9000

Reviews and Comments

Speech-Language Pathologist in Plano, TX

Lisa Kay Anderson, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 E 15th St, Suite 304, Plano, TX 75074 Phone: 972-424-0148 Fax: 972-422-5275
Noelle Zahra Andrews, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1410 14th St, Plano, TX 75074 Phone: 972-424-0148 Fax: 972-422-5275
Pamela Louisa Luyo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1804 Knob Hill Dr, Plano, TX 75023 Phone: 817-897-3696
Claire Simpson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Baffin Bay Dr, Plano, TX 75075 Phone: 469-752-1565
Mrs. Julie R. Virnig, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2004 Papeete Dr, Plano, TX 75075 Phone: 214-738-8594
Rachel Elyse Moore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2700 W 15th St, Plano, TX 75075 Phone: 469-752-8600
Mrs. Barbara Romaine Gupton, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3600 Matterhorn Dr, Plano, TX 75075 Phone: 469-752-3072

Nichole Peck, - Medicare Speech-Language Pathologist in Plano, TX