| 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 | 29 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 |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| University Hospitals Samaritan Medical Center | Ashland, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 416 |
| University Primary Care Practices Inc | 3072417534 | 1073 |
| Scl Health Medical Group - Billings Llc | 9638491574 | 287 |
| Bronson Methodist Hospital | 0244148633 | 722 |
| Adena Medical Group Llc | 1153456579 | 384 |
| Kettering Independent Medical Group Inc | 3173710936 | 689 |
| Summit Memorial Medical Group Llc | 1254876683 | 40 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| 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 |