Look up the most recent NPI and PECOS records

William James Peck

Family Medicine

Allopathic & Osteopathic Physicians

14 Hemlock Rd, Williamsport, PA 17701-9203

PECOS Enrollment

Based on the most recent information from CMS, provider William James Peck does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891756615
Provider Type
Individual
Full Name
Peck, William James
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/31/2006
Last Updated
12/26/2018

Contact Information

Practice Location

14 Hemlock Rd, Williamsport, PA 17701-9203

(570) 419-7382

Unlisted Fax

Mailing Location

14 Hemlock Rd, Williamsport, PA 17701-9203

(570) 419-7382

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD021080E Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 0006326510001	Description Medicaid	Issuer Unlisted Pennsylvania

William James Peck

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kaderli, Brian

Harer, Jendy Yon

Meeker, Matthew James

Glagola, Cameron

Wiegand, Rosemary

Schuler, Daniel

Polisano, Adriana

Jones, Michael W

Boahene, Adwoa Kyeiwa

Pinckney, Steven Brooks Daniels