Mr David P Peasak Ii, MSN - Medicare Nurse Practitioner in Clarksburg, WV

Mr David P Peasak Ii, MSN is a medicare enrolled "Nurse Practitioner" in Clarksburg, West Virginia. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Bridgeport Express Care Inc, Holzer Clinic Llc and his current practice location is 6 Hospital Plz, Clarksburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 623-5661.

Mr David P Peasak Ii is licensed to practice in West Virginia (license number 54117) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316987001.

Contact Information

Mr David P Peasak Ii, MSN
6 Hospital Plz,
Clarksburg, WV 26301-9316
(304) 623-5661
Not Available



Provider's Profile

Full NameMr David P Peasak Ii
GenderMale
SpecialityNurse Practitioner
Experience21 Years
Location6 Hospital Plz, Clarksburg, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr David P Peasak Ii graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1316987001
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 11/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335137074
  • Enrollment ID: I20040503001023

Medical Identifiers

Medical identifiers for Mr David P Peasak Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316987001NPI-NPPES
WV54117OtherWVTHP
7103213000MedicaidWV
P00287918OtherWVRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 54117 (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bridgeport Express Care Inc83251048965
Holzer Clinic Llc5890606008268

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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. Mr David P Peasak Ii allows following entities to bill medicare on his behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

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Entity NameSt Joseph's Hospital Of Buckhannon Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124005061
PECOS PAC ID: 6709828163
Enrollment ID: O20050525000839

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Entity NameBeckley Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376757674
PECOS PAC ID: 0547353062
Enrollment ID: O20070829000541

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Entity NameBridgeport Express Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912142001
PECOS PAC ID: 8325104896
Enrollment ID: O20090309000095

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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. Mr David P Peasak Ii 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
Mr David P Peasak Ii, MSN
Po Box 634715,
Cincinnati, OH 45263-0001

Ph: () -
Mr David P Peasak Ii, MSN
6 Hospital Plz,
Clarksburg, WV 26301-9316

Ph: (304) 623-5661

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Nurse Practitioner Nurses in Clarksburg, WV

Mrs. Anna Besedich, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Med Center Dr, Clarksburg, WV 26301
Phone: 304-623-3461    
Mr. Fred Jay Frazier Iii, APRN,PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Hospital Plz, Clarksburg, WV 26301
Phone: 304-969-3100    
Antoinette R Marascio, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Hospital Plz, Clarksburg, WV 26301
Phone: 304-624-2960    
Seth Michael Miller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301
Phone: 304-623-6330    Fax: 304-623-6220
Diana Lynn Cooper, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301
Phone: 304-623-6330    
Roxanne Yong Ross, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301
Phone: 304-623-6330    Fax: 304-623-6220

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