| Dr Jeremy Walter Peck, MD, PHD | |
|
112 Columbia Point Dr Ste 105, Richland, WA 99352-4390 | |
| (509) 873-7140 | |
| (509) 818-1303 |
| Full Name | Dr Jeremy Walter Peck |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 112 Columbia Point Dr Ste 105, 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 |
|---|---|---|---|
| 1457514689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD60343797 (Washington) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD60343797 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-city Dermatology Pllc | 9032529441 | 2 |
| Entity Name | Center For Excellence In Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669512950 PECOS PAC ID: 8527123306 Enrollment ID: O20090211000010 |
| Entity Name | Dermahealth Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881835171 PECOS PAC ID: 8729145677 Enrollment ID: O20090320000583 |
| Entity Name | Tri-city Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669070918 PECOS PAC ID: 9032529441 Enrollment ID: O20201112003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Walter Peck, MD, PHD 112 Columbia Point Dr Ste 105, Richland, WA 99352-4390 Ph: (509) 873-7140 | Dr Jeremy Walter Peck, MD, PHD 112 Columbia Point Dr Ste 105, Richland, WA 99352-4390 Ph: (509) 873-7140 |
Robert J Marshall, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 925 Stevens Dr, Suite 3-c, Richland, WA 99352 Phone: 509-946-0400 Fax: 509-946-1685 | |
Dr. Sidney B Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1295 Fowler St # 1b, Richland, WA 99352 Phone: 509-783-2004 Fax: 509-783-1949 | |
Geoffrey Stillman Ames, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 750 Swift Blvd, 10, Richland, WA 99352 Phone: 509-943-3934 Fax: 509-943-4016 | |
Allison Raniere Salgado, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1295 Fowler St Ste 102, Richland, WA 99352 Phone: 509-783-2004 | |
Nicole Mulkey, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Columbia Point Dr, Richland, WA 99352 Phone: 509-942-3190 Fax: 509-943-6197 |