Amanda Dawn Peacock, ANP-C in San Francisco, CA - Medicare Clinical Nurse Specialist

Amanda Dawn Peacock, ANP-C is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in San Francisco, California. Her current practice location is 368 Fell St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 861-0828.

Amanda Dawn Peacock is licensed to practice in California (license number 95004519) 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 1134406184.

Contact Information

	Amanda Dawn Peacock, ANP-C
	368 Fell St, San Francisco, CA 94102-5144
	(415) 861-0828
	(415) 861-0257

Map and Direction

Provider's Profile

Full Name	Amanda Dawn Peacock
Gender	Female
Speciality	Clinical Nurse Specialist - Adult Health
Location	368 Fell St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134406184
Provider Enumeration Date: 11/04/2011
Last Update Date: 12/10/2016

Medicare PECOS Information:

PECOS PAC ID: 9133381825
Enrollment ID: I20200316001459

Medical Identifiers

Medical identifiers for Amanda Dawn Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134406184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	J120679 (Iowa)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	H-120679 (Iowa)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	95004519 (California)	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. Amanda Dawn Peacock allows following entities to bill medicare on her behalf.

Entity Name	Soumya Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194912097 PECOS PAC ID: 4183712698 Enrollment ID: O20071116000559

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. Amanda Dawn 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
Amanda Dawn Peacock, ANP-C 368 Fell St, San Francisco, CA 94102-5144 Ph: (415) 861-0828	Amanda Dawn Peacock, ANP-C 368 Fell St, San Francisco, CA 94102-5144 Ph: (415) 861-0828

Reviews and Comments

Clinical Nurse Specialist Nurses in San Francisco, CA

Olga Hidchenko, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2100 Webster St, Suite 319, San Francisco, CA 94115 Phone: 415-923-3123 Fax: 415-923-3132
Hildegarde Marie Schell-chaple, PHD, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-1039
Gary M Fuller, RNFA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 351 Hearst Ave, San Francisco, CA 94112 Phone: 415-272-2203
Eileen Choy, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1001 Potrero Ave, Ward 94, San Francisco, CA 94110 Phone: 415-206-8524
Daniel Enrique Chan, PAC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2480 Mission St, #329, San Francisco, CA 94110 Phone: 415-826-2438 Fax: 415-826-2702
Alice Y Wong, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1171 Mission St, Medical Respite Program, San Francisco, CA 94103 Phone: 415-734-4202
George Howard Herzog, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4150 Clement St G1-111b1, San Francisco, CA 94121 Phone: 415-221-4810

Amanda Dawn Peacock, ANP-C - Medicare Clinical Nurse Specialist in San Francisco, CA