Mrs Kathleen Jo Peacock, CNM, RN in Takoma Park, MD - Medicare Advanced Practice Midwife

Mrs Kathleen Jo Peacock, CNM, RN is a medicare enrolled "Advanced Practice Midwife" in Takoma Park, Maryland. Her current practice location is 7301 Garland Ave, Takoma Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 807-5605.

Mrs Kathleen Jo Peacock is licensed to practice in Maryland (license number R186240) 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 1518294800.

Contact Information

	Mrs Kathleen Jo Peacock, CNM, RN
	7301 Garland Ave, Takoma Park, MD 20912-6417
	(301) 807-5605
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Jo Peacock
Gender	Female
Speciality	Advanced Practice Midwife
Location	7301 Garland Ave, Takoma Park, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518294800
Provider Enumeration Date: 11/09/2009
Last Update Date: 03/07/2017

Medicare PECOS Information:

PECOS PAC ID: 0840633889
Enrollment ID: I20240207001410

Medical Identifiers

Medical identifiers for Mrs Kathleen Jo Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518294800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	R186240 (Maryland)	Primary
367A00000X	Advanced Practice Midwife	RN1034066 (District Of Columbia)	Secondary

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. Mrs Kathleen Jo Peacock allows following entities to bill medicare on her behalf.

Entity Name	Marys Center For Maternal And Child Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962520288 PECOS PAC ID: 5092798298 Enrollment ID: O20040609000873

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. Mrs Kathleen Jo 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 Address	Practice Location Address
Mrs Kathleen Jo Peacock, CNM, RN 600 Elm Ave, Takoma Park, MD 20912-5432 Ph: (301) 807-5605	Mrs Kathleen Jo Peacock, CNM, RN 7301 Garland Ave, Takoma Park, MD 20912-6417 Ph: (301) 807-5605

Reviews and Comments

Advanced Practice Midwife Nurses in Takoma Park, MD

Mairi Breen Rothman, CNM MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7301 Garland Ave, M.a.m.a.s., Inc., Takoma Park, MD 20912 Phone: 301-674-9976 Fax: 855-282-0727
Erin E Fulham, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7301 Garland Ave, Takoma Park, MD 20912 Phone: 301-412-8800 Fax: 301-920-1107
Ms. Carina A. Ryder, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 7050 Carroll Ave, Suite 201, Takoma Park, MD 20912 Phone: 301-960-1155 Fax: 301-960-0097

Mrs Kathleen Jo Peacock, CNM, RN - Medicare Advanced Practice Midwife in Takoma Park, MD