MRS. SONJA ELAINE PECKHAM CNP NPI 1114201522

Nurse Practitioner (Adult Health) in Concord Twp, OH

NPI 1114201522 Individual Female Years of Experience 11 Nurse Practitioner Adult Health PECOS Enrolled Accepts Medicare Approved Payment

About SONJA PECKHAM

Sonja Peckham is a provider established in Concord Twp, Ohio and her medical specialization is nurse practitioner (adult health) with more than 11 years of experience. The NPI number of Sonja Peckham is 1114201522 and was assigned on October 2011. The practitioner's primary taxonomy code is 363LA2200X with license number 12655NP (OH). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A nurse practitioner (NP) like Mrs. Sonja Elaine Peckham Cnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Sonja Peckham is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Sonja Peckham is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Lake Health.

NPI

1114201522

Provider NameMRS. SONJA ELAINE PECKHAM CNP
Provider Location Address7580 AUBURN RD SUITE 207 CONCORD TWP, OH 44077
Provider Mailing Address7580 AUBURN RD SUITE 207 CONCORD TWP, OH 44077
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-04-2011
Last Update Date10-04-2011


Primary Taxonomy

Taxonomy Code363LA2200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAdult Health
License No.12655NP
License StateOH

Business Address

MRS. SONJA ELAINE PECKHAM CNP
7580 AUBURN RD
SUITE 207
CONCORD TWP, OH
ZIP 44077
Phone: (440) 354-1802
Fax: (440) 953-6138

Get Directions


Mailing Address

MRS. SONJA ELAINE PECKHAM CNP
7580 AUBURN RD
SUITE 207
CONCORD TWP, OH
ZIP 44077
Phone: (440) 354-1802
Fax: (440) 953-6138



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5496055436
PECOS Enrollment IDI20151124001731
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sonja Peckham is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE HEALTH7590 AUBURN ROAD
CONCORD, OH 44077
(440) 953-9600Acute Care Hospitals360098

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326366352LAKE ORTHOPAEDIC ASSOCIATES, INC.
Organization
Orthopaedic Surgery7580 AUBURN RD SUITE 214
CONCORD TWP, OH 44077
(440) 352-1711
1578884797LAKE HOSPITAL SYSTEM, INC.
Organization
Orthopaedic Surgery7580 AUBURN RD SUITE 214
PAINESVILLE, OH 44077
(440) 602-6670
1104100601LAKE HEALTH MEDICAL CENTER
Organization
General Acute Care Hospital7580 AUBURN RD SUITE 207
CONCORD TWP, OH 44077
(440) 953-6082
1417056516DR. KAREN RENEE GRASSIE M.D.
Individual
Surgery7580 AUBURN RD SUITE 314
CONCORD TWP, OH 44077
(440) 352-0646
1699023390 HELENE ASHLEY CANTIN AUD.
Individual
Audiologist-Hearing Aid Fitter7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1720243942 CATHERINE E HELKEY AU.D.
Individual
Audiologist7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1073947867VEIN CLINICS OF LAKE COUNTY LLC
Organization
Internal Medicine7580 AUBURN RD STE 214
PAINESVILLE, OH 44077
(440) 352-2702
1245431527 LORI FALZONE M.A.
Individual
Audiologist7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1326007980DRS. HILL AND CHAPNICK, INC.
Organization
Clinical Medical Laboratory7580 AUBURN RD
CONCORD, OH 44077
(440) 354-4208
1366844284LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
Organization
Pharmacy (Community/Retail Pharmacy)7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 602-6320
1063761955MS. MAUREEN PATRICIA MURRAY NP-C
Individual
Nurse Practitioner (Adult Health)7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 358-1116
1609239193 KAREN CLIFFORD R.D., L.D.
Individual
Dietitian, Registered7580 AUBURN RD PHYSICIAN PAVILION AT TRIPOINT SUITE 201
CONCORD TWP, OH 44077
(440) 350-4511
1528025327 ROBERT L KATZ MD
Individual
Otolaryngology7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1477671642 KATHERINE M NOVOTNY NP-C
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 301
CONCORD TWP, OH 44077
(440) 352-7546
1003005257DR. STANLEY CARTER PACE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)7580 AUBURN RD #302, C/O DRS. HILL AND CHAPNICK, INC
CONCORD TWP, OH 44077
(440) 354-4208
1306455480 ASHLEY HIXON PHARM.D.
Individual
Pharmacist7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8791
1639362916 PATRICIA KELLY C.N.P.
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 202
PAINESVILLE, OH 44077
(440) 352-0400
1801454715 PAMELA ALISE HOFFMAN
Individual
Physician Assistant7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 352-7546
1861769630MS. CHRISTINA M. ZAYICEK CNP
Individual
Nurse Practitioner (Family)7580 AUBURN RD #202
PAINESVILLE, OH 44077
(440) 354-1899
1366018574 KAITLIN MARIE HIPPLEY
Individual
Dietitian, Registered7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(216) 538-0643

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.