Dr Connor Peck, DDS in Minneapolis, MN - Medicare Oral Surgery Provider

Dr Connor Peck, DDS is a medicare enrolled "Dentist - Orofacial Pain" provider in Minneapolis, Minnesota. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Lmg Inc and his current practice location is 515 Delaware St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-0140.

Dr Connor Peck is licensed to practice in Minnesota (license number R713) 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 1821581760.

Contact Information

	Dr Connor Peck, DDS
	515 Delaware St Se, Minneapolis, MN 55455-0357
	(612) 626-0140
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Connor Peck
Gender	Male
Speciality	Oral Surgery
Experience	7 Years
Location	515 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Connor Peck graduated from medical school in 2018

NPI Data:

NPI Number: 1821581760
Provider Enumeration Date: 06/13/2018
Last Update Date: 10/06/2019

Medicare PECOS Information:

PECOS PAC ID: 6406271709
Enrollment ID: I20200804001292

Medical Identifiers

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

Identifier	Type	State	Issuer
1821581760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	R713 (Minnesota)	Secondary
1223X2210X	Dentist - Orofacial Pain	R713 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Froedtert Memorial Lutheran Hospital	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lmg Inc	6305851676	5

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 Connor Peck allows following entities to bill medicare on his behalf.

Entity Name	Lmg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134235427 PECOS PAC ID: 6305851676 Enrollment ID: O20060208000608

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 Connor 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
Dr Connor Peck, DDS 2410 University Ave W Ste 110, Saint Paul, MN 55114-1978 Ph: (414) 416-2110	Dr Connor Peck, DDS 515 Delaware St Se, Minneapolis, MN 55455-0357 Ph: (612) 626-0140

Reviews and Comments

Dentist in Minneapolis, MN

Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000
George Noesen, Dentist Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600
Julio Sotillo Rodriguez, D.D.S., PH.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 25th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-625-3249

Dr Connor Peck, DDS - Medicare Dentist in Minneapolis, MN