Elizabeth Anne Peacock (NPI# 1679968986, PAC ID# 3577876093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679968986 |
| PAC ID by PECOS | 3577876093 |
| Professional Enrollment ID | I20190709001193 |
| Full Name | Elizabeth Anne Peacock |
| Organization Legal Name | LIFETIME SKIN CARE CENTERS, LLC |
| Address |
401 W Mcgalliard Rd Muncie IN 47303-1828 |
| Phone Number | 7652886200 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1254306574 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 7652886200 | LIFETIME SKIN CARE CENTERS, LLC |
| Organization Legal Name | LIFETIME SKIN CARE CENTERS, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve George Bekas | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Drew Munson Anderson | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Michelle L Hicks | Nurse Practitioner | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Deborah Sue Kuhlman | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Street Address |
401 W MCGALLIARD RD |
| City | MUNCIE |
| State | IN |
| Zip | 47303-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve George Bekas | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Drew Munson Anderson | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Michelle L Hicks | Nurse Practitioner | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Deborah Sue Kuhlman | Dermatology | Lifetime Skin Care Centers, LLC | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Lykins | Psychologist, Clinical | 4221 N Broadway Ave, Lykins Counseling Clinic, Muncie, IN 47303-1015 | |
| Lisa A Brock | Nurse Practitioner | 4301 N Walnut St, Muncie, IN 47303-1190 | |
| Willard J Frederick | Clinical Social Worker | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Sharon J Ezop | Psychologist, Clinical | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Jamie Lynne Bergan | Clinical Social Worker | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| E Caroline Curlin | Psychologist, Clinical | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Bryce E Taylor | Clinical Psychologist | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Matthew L Harkin | Optometry | 2304 N Wheeling Ave, Muncie, IN 47303-1619 | |
| Jennifer A Boget | Nurse Practitioner | Medexpress Urgent Care PC Indiana | 1313 W Mcgalliard Rd, Medexpress Urgent Care Muncie, Muncie, IN 47303-1774 |
| James E Holmes | Emergency Medicine | Medexpress Urgent Care PC Indiana | 1313 W Mcgalliard Rd, Medexpress Urgent Care Muncie, Muncie, IN 47303-1774 |
| Find all physicians in zip 47303 | |||
| City | MUNCIE |
| Zip Code | 47303 |
| Specialty | DERMATOLOGY |
| City + Specialty | MUNCIE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.