| Dr John W Peck Ii, MD | |
|
2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8848 | |
| (419) 289-6000 | |
| (419) 289-6010 |
| Full Name | Dr John W Peck Ii |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 2212 Mifflin Ave, Ashland, Ohio |
| 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 |
|---|---|---|---|
| 1891895538 | NPI | - | NPPES |
| 2322427 | Medicaid | OH | |
| 341768928 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | EMC0007639 (Michigan) | Secondary |
| 208800000X | Urology | 35075840 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Samaritan Medical Center | Ashland, OH | Hospital |
| St Vincent Healthcare | Billings, MT | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adena Medical Group Llc | 1153456579 | 346 |
| University Primary Care Practices Inc | 3072417534 | 972 |
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Scl Health Medical Group - Billings Llc | 9638491574 | 254 |
| Summit Memorial Medical Group Llc | 1254876683 | 31 |
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John W Peck Ii, MD 2212 Mifflin Ave Ste 230, Ashland, OH 44805-8846 Ph: (419) 289-6000 | Dr John W Peck Ii, MD 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8848 Ph: (419) 289-6000 |
Dr. Ramy Abou Ghayda, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2212 Mifflin Ave Ste 230, Ashland, OH 44805 Phone: 419-289-6000 |