| Dr John Edward Peacock Iii, DO | |
|
10000 Shannondell Dr, Audubon, PA 19403-5615 | |
| (610) 728-5241 | |
| (610) 728-5322 |
| Full Name | Dr John Edward Peacock Iii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 10000 Shannondell Dr, Audubon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881763613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OS014770 (Pennsylvania) | Primary |
| 207Q00000X | Family Medicine | OS014770 (Pennsylvania) | Secondary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Edward Peacock Iii, DO 10000 Shannondell Dr, Audubon, PA 19403-5615 Ph: (610) 728-5241 | Dr John Edward Peacock Iii, DO 10000 Shannondell Dr, Audubon, PA 19403-5615 Ph: (610) 728-5241 |
Dr. Natu R Patel, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2792 Egypt Road, Audubon, PA 19403 Phone: 610-666-9240 Fax: 610-666-1808 | |
Dr. Manjit Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 Shannondell Dr, Audubon, PA 19403 Phone: 610-728-5241 Fax: 610-728-5322 | |
Nilesh V. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2793 Egypt Rd, Suite 409, Audubon, PA 19403 Phone: 610-666-1400 Fax: 610-666-1445 | |
Dr. Merlyn Ancilla Johnson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2792 Egypt Rd, Audubon, PA 19403 Phone: 610-666-9240 Fax: 610-666-1808 | |
Dana Burkholder, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20000 Shannondell Dr, Audubon, PA 19403 Phone: 484-392-4045 Fax: 484-392-4049 |