| Derek J Peacock, MD | |
|
1305 Fowler St Ste 1d, Richland, WA 99352-4719 | |
| (509) 940-2284 | |
| Not Available |
| Full Name | Derek J Peacock |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 45 Years |
| Location | 1305 Fowler St Ste 1d, Richland, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720085038 | NPI | - | NPPES |
| 0152619 | Other | WA | L&I |
| 8477630 | Medicaid | WA | |
| 660003458 | Other | WA | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | MD00036578 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Lourdes Medical Center | Pasco, WA | Hospital |
| Yakima Valley Memorial | Yakima, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pnw Arthritis And Rheumatology Pllc | 0840781944 | 3 |
| Entity Name | Pnw Arthritis and Rheumatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861285074 PECOS PAC ID: 0840781944 Enrollment ID: O20251117003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek J Peacock, MD 1305 Fowler St Ste 1d, Richland, WA 99352-4719 Ph: (509) 940-2284 | Derek J Peacock, MD 1305 Fowler St Ste 1d, Richland, WA 99352-4719 Ph: (509) 940-2284 |
Kalavati Paila, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 |
Dr. Braghadheeswar Thyagarajan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2648 Fax: 509-942-2812 |
Ziga Tretjak, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 780 Swift Blvd, Suite 270, Kadlec Clinic, Gastroenterology, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-943-3280 |
Dr. Caleb Haws, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-627-2983 |
Nazar Hafiz, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1270 Lee Blvd Ste A, Richland, WA 99352 Phone: 509-942-3180 Fax: 509-943-9722 |
Arnulfo T Deray, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 |
Vikash Gurung, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2812 |