Miss Kelly Carol Peng, DO is a medicare enrolled "Military Health Care Provider" physician in Oceanside, California. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cook County and her current practice location is
200 Mercy Circle, Emergency Medicine Department, Oceanside, California. You can reach out to her office (for appointments etc.) via phone at
(760) 719-3994.
Miss Kelly Carol Peng is licensed to practice in Virginia (license number 0102203540) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013280718.
Physician's Profile
| Full Name | Miss Kelly Carol Peng |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 3 Years |
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| Location | 200 Mercy Circle, Oceanside, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Kelly Carol Peng graduated from medical school in 2023
NPI Data:
- NPI Number: 1013280718
- Provider Enumeration Date: 02/12/2012
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375999212
- Enrollment ID: I20231027003029
Medical Identifiers
Medical identifiers for Miss Kelly Carol Peng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013280718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 0102203540 (Virginia) | Secondary |
| 171000000X | Military Health Care Provider | 0102203540 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cook County | 2860398088 | 698 |
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. Miss Kelly Carol Peng allows following entities to bill medicare on her behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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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. Miss Kelly Carol Peng 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 |
Miss Kelly Carol Peng, DO 200 Mercy Circle, Emergency Medicine Department, Oceanside, CA 92055 Ph: (760) 719-3994 | Miss Kelly Carol Peng, DO 200 Mercy Circle, Emergency Medicine Department, Oceanside, CA 92055 Ph: (760) 719-3994 |
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