Dr Derek Peckham, DO - Medicare Emergency Medicine in Hays, KS

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Dr Derek Peckham, DO is a medicare enrolled "Emergency Medicine" physician in Hays, Kansas. His current practice location is 2220 Canterbury Dr, Hays, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 623-5555.

Dr Derek Peckham is licensed to practice in Kansas (license number 0551633) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386374163.

Contact Information

Dr Derek Peckham, DO
2220 Canterbury Dr,
Hays, KS 67601-2370
(785) 623-5555
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek Peckham
GenderMale
SpecialityEmergency Medicine
Location2220 Canterbury Dr, Hays, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386374163
  • Provider Enumeration Date: 06/14/2022
  • Last Update Date: 08/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294118105
  • Enrollment ID: I20231017001410

Medical Identifiers

Medical identifiers for Dr Derek Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386374163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0551633 (Kansas)Secondary
207P00000XEmergency Medicine 0551633 (Kansas)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. Dr Derek Peckham allows following entities to bill medicare on his behalf.
Entity NameJennie M Melham Memorial Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366659773
PECOS PAC ID: 5799766440
Enrollment ID: O20040527000928
Entity NameProvidence Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801867494
PECOS PAC ID: 4587629928
Enrollment ID: O20041124000342
Entity NameJefferson Community Health Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477660397
PECOS PAC ID: 2668574542
Enrollment ID: O20070223000198
Entity NameJefferson Community Health Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1992808372
PECOS PAC ID: 2668574542
Enrollment ID: O20071108000030
Entity NameAvera St Anthonys Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1891738936
PECOS PAC ID: 4486548203
Enrollment ID: O20071128000149
Entity NameJennie M Melham Memorial Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538232244
PECOS PAC ID: 5799766440
Enrollment ID: O20071129000446
Entity NameRegional West Garden County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336552280
PECOS PAC ID: 3971502873
Enrollment ID: O20110727000756
Entity NameJefferson Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922462902
PECOS PAC ID: 2668574542
Enrollment ID: O20160506001438

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 Derek Peckham 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 AddressPractice Location Address
Dr Derek Peckham, DO
2220 Canterbury Dr,
Hays, KS 67601-2370

Ph: (785) 623-5555		Dr Derek Peckham, DO
2220 Canterbury Dr,
Hays, KS 67601-2370

Ph: (785) 623-5555

Reviews and Comments


Emergency Medicine Doctors in Hays, KS

Dr. Jane Daugherty-luck, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5555    Fax: 785-623-5518
Aaron Pfeifer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5555    Fax: 785-623-5518
Marshall Edward Eidenberg, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5555    
John Jeter, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5523    Fax: 785-623-5030
Dr. Timothy Patrick Hoskins, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2214 Canterbury Dr, Suite 210, Hays, KS 67601
Phone: 785-623-5806    Fax: 785-623-2343
Mr. Solomon Samuel Kuah, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5000    
Dr. Stephen Terrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2220 Canterbury Dr, Hays, KS 67601
Phone: 785-623-5555    Fax: 785-623-5518

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.