Penny Jean Peacock, MD - Medicare Internal Medicine in Park City, UT

Penny Jean Peacock, MD is a medicare enrolled "Internal Medicine" physician in Park City, Utah. She went to University Of Maryland School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Northeastern Utah Medical Group, Uintah Basin Medical Center and her current practice location is 1612 Ute Blvd, 205, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 655-3309.

Penny Jean Peacock is licensed to practice in Utah (license number 3764531205) 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 1902864762.

Contact Information

Penny Jean Peacock, MD
1612 Ute Blvd, 205,
Park City, UT 84098-7500
(435) 655-3309
(435) 655-3392

Map and Direction




Physician's Profile

Full NamePenny Jean Peacock
GenderFemale
SpecialityInternal Medicine
Experience30 Years
Location1612 Ute Blvd, Park City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Penny Jean Peacock attended and graduated from University Of Maryland School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1902864762
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 05/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0446163877
  • Enrollment ID: I20031111000328

Medical Identifiers

Medical identifiers for Penny Jean Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902864762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 3764531205 (Utah)Primary
208000000XPediatrics 3764531205 (Utah)Secondary
208M00000XHospitalist 3764531205 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uintah Basin Medical CenterRoosevelt, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Utah Medical Group296149660945
Uintah Basin Medical Center024413194453

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. Penny Jean Peacock allows following entities to bill medicare on her behalf.
Entity NameUintah Basin Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871556217
PECOS PAC ID: 0244131944
Enrollment ID: O20040226000948
Entity NameNortheastern Utah Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471

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. Penny Jean Peacock 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 AddressPractice 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

Reviews and Comments


Internal Medicine Doctors in Park City, UT

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    
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    
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    
Sean Manning Udell, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 750 Round Valley Dr Ste 201, Park City, UT 84060
Phone: 435-649-7680    
Dr. Jennifer A Knepper, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098
Phone: 435-604-0160    Fax: 435-731-8328
Dr. Jeffrey S Holverson, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6240 N Snowview Dr, Park City, UT 84098
Phone: 801-664-1390    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.