| Penny Jean Peacock, MD | |
|
1612 Ute Blvd, 205, Park City, UT 84098-7500 | |
| (435) 655-3309 | |
| (435) 655-3392 |
| Full Name | Penny Jean Peacock |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 1612 Ute Blvd, Park City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902864762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3764531205 (Utah) | Primary |
| 208000000X | Pediatrics | 3764531205 (Utah) | Secondary |
| 208M00000X | Hospitalist | 3764531205 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uintah Basin Medical Center | Roosevelt, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uintah Basin Medical Center Inc | 0244131944 | 56 |
| Entity Name | Uintah Basin Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
| Entity Name | Northeastern Utah Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Jean Peacock, MD 1612 Ute Blvd, 205, Park City, UT 84098-7500 Ph: (435) 655-3309 | Penny Jean Peacock, MD 1612 Ute Blvd, 205, Park City, UT 84098-7500 Ph: (435) 655-3309 |
Dr. Joshua Turner Napier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7400 | |
Marjory A Bravard, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1743 S Sidewinder Drive Unit 114, Park City, UT 84060 Phone: 307-840-9834 | |
Dr. Claudia B Fish, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 Fax: 435-658-7424 | |
Todd Andrew Bigatel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7411 | |
Brandon Ellis Tullis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Canyons Resort Drive, Park City, UT 84098 Phone: 435-645-4130 | |
Dr. Winston Brent Bokor, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1526 Ute Blvd Ste 205, Park City, UT 84098 Phone: 385-520-7888 Fax: 865-213-9956 | |
Donald John Brust, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 |