Individual ProviderMichael J PeckAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945(301) 838-9606PECOS EnrollmentThis provider is enrolled in PECOS as MICHAEL PECK.Based on the most recent information from CMS, provider Michael J Peck is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1083652358Provider TypeIndividualFull NamePeck, Michael JCredentialM.D.GenderMaleEnumeration Date6/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945Phone(301) 838-9606FaxUnlisted FaxMailing LocationMailing Address4 Farm Haven Ct, Rockville, MD 20852-4231PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD40546Maryland