Mr Charles Leroy Peacock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lawrenceville, GA

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Mr Charles Leroy Peacock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceville, Georgia. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Galleria Anesthesia Associates, Llc and his current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 442-4321.

Mr Charles Leroy Peacock is licensed to practice in Georgia (license number RN182133 CRNA) 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 1063548964.

Contact Information

Mr Charles Leroy Peacock, CRNA
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694
(678) 442-4321
Not Available

Map and Direction




Provider's Profile

Full NameMr Charles Leroy Peacock
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Charles Leroy Peacock graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1063548964
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355447202
  • Enrollment ID: I20140731001161

Medical Identifiers

Medical identifiers for Mr Charles Leroy Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063548964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN182133 CRNA (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
AvalaCovington, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Galleria Anesthesia Associates, Llc650726174027

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. Mr Charles Leroy Peacock allows following entities to bill medicare on his behalf.
Entity NameOchsner Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513
Entity NameAnesthesiology Group Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255399598
PECOS PAC ID: 0042110298
Enrollment ID: O20040113000117
Entity NameThe Capital City Anesthesia Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245282466
PECOS PAC ID: 1658272844
Enrollment ID: O20040120000494
Entity NameChildrens Hospital Anesthesia Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649362740
PECOS PAC ID: 0446152862
Enrollment ID: O20040124000258
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20070226000608
Entity NameUniversity Medical Center Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083655567
PECOS PAC ID: 7012150311
Enrollment ID: O20130906000137
Entity NameGalleria Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962966796
PECOS PAC ID: 6507261740
Enrollment ID: O20210825003473

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. Mr Charles Leroy 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
Mr Charles Leroy Peacock, CRNA
840 Connell Ln,
Lawrenceville, GA 30044-6123

Ph: (770) 736-5173		Mr Charles Leroy Peacock, CRNA
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694

Ph: (678) 442-4321

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lawrenceville, GA

John G Bojack, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
John D Singleton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
Dr. Souleymane Kabore, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-1000    
Allison Reinecke Hodge, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-963-9905    
Jennifer D Del Bagno, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
Elizabeth A Walker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244

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.