Dr Tracy Jeanne Peck, MD in Clackamas, OR

Dr Tracy Jeanne Peck, MD is a medicare enrolled "Pediatrics" physician in Clackamas, Oregon. Her current practice location is 9000 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 813-2000.

Dr Tracy Jeanne Peck is licensed to practice in Oregon (license number MD152995) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073748638.

Contact Information

	Dr Tracy Jeanne Peck, MD
	9000 Se Sunnyside Rd, Clackamas, OR 97015-9758
	(503) 813-2000
	(503) 571-3418

Map and Direction

Physician's Profile

Full Name	Dr Tracy Jeanne Peck
Gender	Female
Speciality	Pediatrics
Location	9000 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073748638
Provider Enumeration Date: 05/26/2009
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6507018017
Enrollment ID: I20121210000043

Medical Identifiers

Medical identifiers for Dr Tracy Jeanne Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073748638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A107878 (California)	Secondary
208000000X	Pediatrics	60236668 (Washington)	Secondary
208000000X	Pediatrics	MD152995 (Oregon)	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 Tracy Jeanne Peck allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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 Tracy Jeanne Peck 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 Address	Practice Location Address
Dr Tracy Jeanne Peck, MD 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 Ph: (503) 813-2000	Dr Tracy Jeanne Peck, MD 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 Ph: (503) 813-2000

Reviews and Comments

Pediatrics Doctors in Clackamas, OR

Pooja Banginwar, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Jay Joo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Dr. Bonnie Jean Aust, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office, Clackamas, OR 97015 Phone: 503-652-2880
Dr. Patricia Theresa Campbell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3418
Mary Kathryn Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Nancy Tran Chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984

Dr Tracy Jeanne Peck, MD - Medicare Pediatrics in Clackamas, OR