Mr Christopher L Peck, PA - Medicare Physician Assistant in Ithaca, NY

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Mr Christopher L Peck, PA is a medicare enrolled "Physician Assistant - Surgical" in Ithaca, New York. His current practice location is 1301 Trumansburg Rd, Ste E, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 273-3161.

Mr Christopher L Peck is licensed to practice in New York (license number 002559) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164424362.

Contact Information

Mr Christopher L Peck, PA
1301 Trumansburg Rd, Ste E,
Ithaca, NY 14850-1397
(607) 273-3161
(607) 273-4979

Map and Direction




Provider's Profile

Full NameMr Christopher L Peck
GenderMale
SpecialityPhysician Assistant - Surgical
Location1301 Trumansburg Rd, Ithaca, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164424362
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5294908430
  • Enrollment ID: I20111103000008

Medical Identifiers

Medical identifiers for Mr Christopher L Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164424362NPI-NPPES
2504263MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 002559 (New York)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. Mr Christopher L Peck allows following entities to bill medicare on his behalf.
Entity NameSchuyler Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760582142
PECOS PAC ID: 3577548262
Enrollment ID: O20040618000324
Entity NameCayuga Medical Center at Ithaca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164547303
PECOS PAC ID: 7214847367
Enrollment ID: O20050304000341
Entity NameCayuga Medical Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525455
PECOS PAC ID: 6709897960
Enrollment ID: O20060601000199

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 Christopher L Peck 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 Christopher L Peck, PA
4364 Lower Covert Rd,
Trumansburg, NY 14886-9305

Ph: (607) 273-3161		Mr Christopher L Peck, PA
1301 Trumansburg Rd, Ste E,
Ithaca, NY 14850-1397

Ph: (607) 273-3161

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).

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.