| Dr Johnathan W Peck, DMS, PA-C | |
|
607 S Broadway, Coweta, OK 74429-5000 | |
| (918) 486-5564 | |
| Not Available |
| Full Name | Dr Johnathan W Peck |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 607 S Broadway, Coweta, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144934589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117435 (Florida) | Primary |
| 363A00000X | Physician Assistant | (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 4971 (Oklahoma) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medwise Llc | 8820410970 | 37 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnathan W Peck, DMS, PA-C 607 S Broadway, Coweta, OK 74429-5000 Ph: (918) 486-5564 | Dr Johnathan W Peck, DMS, PA-C 607 S Broadway, Coweta, OK 74429-5000 Ph: (918) 486-5564 |
Jeffery Allen Barentine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Burleene Mosburg, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Jackie J Parnell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 Fax: 918-486-3284 | |
Sandra L Lewis, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31870 E. Highway 51, Coweta, OK 74429 Phone: 918-279-3200 Fax: 918-756-3993 |