Mrs Kerrie Peacock-preston, PA-C - Medicare Physician Assistant in Jacksonville, FL

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Mrs Kerrie Peacock-preston, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Department Of Health and her current practice location is 515 W 6th St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 253-1639.

Mrs Kerrie Peacock-preston is licensed to practice in Florida (license number PA9103213) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861454126.

Contact Information

Mrs Kerrie Peacock-preston, PA-C
515 W 6th St,
Jacksonville, FL 32206-4324
(904) 253-1639
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kerrie Peacock-preston
GenderFemale
SpecialityPhysician Assistant
Experience22 Years
Location515 W 6th St, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kerrie Peacock-preston graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1861454126
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 05/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214072354
  • Enrollment ID: I20100301000766

Medical Identifiers

Medical identifiers for Mrs Kerrie Peacock-preston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861454126NPI-NPPES
0020409-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9103213 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Department Of Health3072424282126

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 Kerrie Peacock-preston allows following entities to bill medicare on her behalf.
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821066028
PECOS PAC ID: 3072424282
Enrollment ID: O20031105000120
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134189103
PECOS PAC ID: 3072424282
Enrollment ID: O20040105000636
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720171895
PECOS PAC ID: 3072424282
Enrollment ID: O20040525000679
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023081932
PECOS PAC ID: 3072424282
Enrollment ID: O20040724000002
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932174240
PECOS PAC ID: 3072424282
Enrollment ID: O20040825001552
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083687719
PECOS PAC ID: 3072424282
Enrollment ID: O20041124000254
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558334367
PECOS PAC ID: 3072424282
Enrollment ID: O20041215000660
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215973870
PECOS PAC ID: 3072424282
Enrollment ID: O20050908000743
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215906938
PECOS PAC ID: 3072424282
Enrollment ID: O20051008000100
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548236623
PECOS PAC ID: 3072424282
Enrollment ID: O20080515000662
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1568428837
PECOS PAC ID: 3072424282
Enrollment ID: O20080714000700
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1780653766
PECOS PAC ID: 3072424282
Enrollment ID: O20090402000376
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154392686
PECOS PAC ID: 3072424282
Enrollment ID: O20091217000351
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013984863
PECOS PAC ID: 3072424282
Enrollment ID: O20100427000796
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487629200
PECOS PAC ID: 3072424282
Enrollment ID: O20100505000522
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528034170
PECOS PAC ID: 3072424282
Enrollment ID: O20100505000869
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245354943
PECOS PAC ID: 3072424282
Enrollment ID: O20100517000888
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447296389
PECOS PAC ID: 3072424282
Enrollment ID: O20100518000150
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679548861
PECOS PAC ID: 3072424282
Enrollment ID: O20100518000211
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548263114
PECOS PAC ID: 3072424282
Enrollment ID: O20100518000300
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639144033
PECOS PAC ID: 3072424282
Enrollment ID: O20100802001053
Entity NameFlorida Department of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205895752
PECOS PAC ID: 3072424282
Enrollment ID: O20120112000058

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 Kerrie Peacock-preston 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
Mrs Kerrie Peacock-preston, PA-C
921 North Davis St, Building A, Suite 251,
Jacksonville, FL 32209

Ph: (904) 253-1639		Mrs Kerrie Peacock-preston, PA-C
515 W 6th St,
Jacksonville, FL 32206-4324

Ph: (904) 253-1639

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.