Russell Peckham, DO in Round Rock, TX

Russell Peckham, DO is a medicare enrolled "Dermatology" physician in Round Rock, Texas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is 7200 Wyoming Spgs, Suite 300, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 910-8800.

Russell Peckham is licensed to practice in Texas (license number P5120) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801816715.

Contact Information

	Russell Peckham, DO
	7200 Wyoming Spgs, Suite 300, Round Rock, TX 78681-4303
	(512) 910-8800
	(512) 522-4483

Map and Direction

Physician's Profile

Full Name	Russell Peckham
Gender	Male
Speciality	Dermatology
Experience	24 Years
Location	7200 Wyoming Spgs, Round Rock, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Russell Peckham graduated from medical school in 2000

NPI Data:

NPI Number: 1801816715
Provider Enumeration Date: 07/20/2006
Last Update Date: 08/08/2017

Medicare PECOS Information:

PECOS PAC ID: 7911121553
Enrollment ID: I20140620001664

Medical Identifiers

Medical identifiers for Russell Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801816715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0102201303 (Virginia)	Secondary
207N00000X	Dermatology	P5120 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oliver Street 5.01(a) Inc	0042464125	141

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. Russell Peckham allows following entities to bill medicare on his behalf.

Entity Name	Oliver Street 5.01(a) Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189

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. Russell Peckham 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
Russell Peckham, DO 7200 Wyoming Spgs, Suite 300, Round Rock, TX 78681-4303 Ph: (512) 910-8800	Russell Peckham, DO 7200 Wyoming Spgs, Suite 300, Round Rock, TX 78681-4303 Ph: (512) 910-8800

Reviews and Comments

Dermatology Doctors in Round Rock, TX

Katie Benjegerdes Homan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200
Ms. Morgan M Covington, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1760 Round Rock Ave, Round Rock, TX 78681 Phone: 512-583-3376 Fax: 512-666-3243
Mrs. Alison Cyr Moseley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1760 Round Rock Ave, Round Rock, TX 78681 Phone: 512-583-3376 Fax: 512-666-3243
Dr. Morgan Janelle Mccarty, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 940 Hesters Crossing Rd, Round Rock, TX 78681 Phone: 512-244-9024 Fax: 512-406-7342
Dr. Ronald G Tee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 425 University Blvd, Suite 245, Round Rock, TX 78665 Phone: 512-209-0200
Sulochana S Bhandarkar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285
Fareesa Shuja Sandoval, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1760 Round Rock Ave, Round Rock, TX 78681 Phone: 512-583-3376 Fax: 512-540-8175

Russell Peckham, DO - Medicare Dermatology in Round Rock, TX