Angela D Peachock, APRN-CNP - Medicare Nurse Practitioner in Youngstown, OH

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Angela D Peachock, APRN-CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Youngstown, Ohio. Her current practice location is 5547 Mahoning Ave # 187, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 398-6420.

Angela D Peachock is licensed to practice in Ohio (license number APRN.CNP.023171) 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 1144706821.

Contact Information

Angela D Peachock, APRN-CNP
5547 Mahoning Ave # 187,
Youngstown, OH 44515-2316
(330) 398-6420
Not Available

Map and Direction




Provider's Profile

Full NameAngela D Peachock
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5547 Mahoning Ave # 187, Youngstown, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144706821
  • Provider Enumeration Date: 07/16/2018
  • Last Update Date: 01/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759635246
  • Enrollment ID: I20181120001289

Medical Identifiers

Medical identifiers for Angela D Peachock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144706821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.023171 (Ohio)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. Angela D Peachock allows following entities to bill medicare on her behalf.
Entity NameMiller Psychiatric Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003564550
PECOS PAC ID: 3274929385
Enrollment ID: O20220524003279

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. Angela D Peachock 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
Angela D Peachock, APRN-CNP
3392 Johnson Farm Dr,
Canfield, OH 44406-9213

Ph: (330) 301-0710		Angela D Peachock, APRN-CNP
5547 Mahoning Ave # 187,
Youngstown, OH 44515-2316

Ph: (330) 398-6420

Reviews and Comments


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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).

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