JENNIFER K PECK PA-C
NPI 1154407757
Physician Assistant - Surgical in Beachwood, OH

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122(216) 831-5700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer K Peck Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER K PECK PA-C (NPI 1154407757) is an individual surgical provider in Beachwood, Ohio, licensed in Ohio (1072660) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154407757
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER K PECKCredential: PA-C
Location Address3401 ENTERPRISE PKWY, SUITE 300Beachwood, OH 44122-7341
Mailing Address3401 Enterprise Pkwy, Suite 300Beachwood, OH 44122-7341 · (216) 831-5700
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154407757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OH · 1072660
3401 ENTERPRISE PKWY, Beachwood, OH 44122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer K Peck Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799785002
PECOS Enrollment IDI20070111000139
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
32 services32 patients
Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108
This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.
18 services18 patients
Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
12 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3401 ENTERPRISE PKWY
BEACHWOOD, OH 44122
Dietitian, Registered
3401 ENTERPRISE PKWY
BEACHWOOD, OH 44122
Physician Assistant
3401 ENTERPRISE PKWY, SUITE 300
BEACHWOOD, OH 44122
Physician Assistant
3401 ENTERPRISE PKWY, SUITE 300
BEACHWOOD, OH 44122
Ophthalmology (Retina Specialist)
3401 ENTERPRISE PKWY, SUITE 300
BEACHWOOD, OH 44122
Dietitian, Registered
3401 ENTERPRISE PKWY
BEACHWOOD, OH 44122
Nurse Practitioner (Psychiatric/Mental Health)
3401 ENTERPRISE PKWY
BEACHWOOD, OH 44122
Ophthalmology (Retina Specialist)
3401 ENTERPRISE PKWY, SUITE 300
BEACHWOOD, OH 44122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Peck's NPI number?

The NPI number for Jennifer Peck is 1154407757. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Jennifer Peck located?

Jennifer Peck practices at 3401 Enterprise Pkwy Suite 300, Beachwood, OH 44122. The listed phone number is (216) 831-5700.

What is Jennifer Peck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Peck enrolled in Medicare?

Yes. Jennifer Peck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Peck accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio, SummaCare and UnitedHealthcare list Jennifer Peck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Peck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.