Courtney Peck (NPI# 1386688877, PAC ID# 3678655560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386688877 |
| PAC ID by PECOS | 3678655560 |
| Professional Enrollment ID | I20120920000353 |
| Full Name | Courtney Peck |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
25 Wells St Westerly RI 02891-2922 |
| Phone Number | 4015966000 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410013 | WESTERLY HOSPITAL |
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 365 Montauk Ave, New London, CT 06320-4700 | NORTHEAST MEDICAL GROUP INC | |
| 95 Armory Rd, Stratford, CT 06614-1702 | 2033843388 | NORTHEAST MEDICAL GROUP INC |
| 25 Wells St, Westerly, RI 02891-2922 | 4015966000 | NORTHEAST MEDICAL GROUP INC |
| 35 Wells St, Unit 1, Westerly, RI 02891-2962 | 4015967736 | NORTHEAST MEDICAL GROUP INC |
| 45 E Ave, Westerly, RI 02891-3113 | 4016374186 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
25 WELLS ST |
| City | WESTERLY |
| State | RI |
| Zip | 02891-2922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luisa Skoble | Psychiatry | Northeast Medical Group Inc | 25 Wells St, Westerly, RI 02891-2922 |
| John Riedel | Emergency Medicine | Lmw Healthcare Inc | 25 Wells St, Westerly, RI 02891-2922 |
| Yardley Brice | Internal Medicine | Hospital Medicine Associates LLC | 25 Wells St, Westerly, RI 02891-2922 |
| William B Ware | General Surgery | 25 Wells St, Westerly, RI 02891-2922 | |
| Christopher I Lacy | Diagnostic Radiology | Ocean Radiology Associates PC | 25 Wells St, The Westerly Hospital, Westerly, RI 02891-2934 |
| Barbara Muir | Physician Assistant | Northeast Medical Group Inc | 25 Wells St, Westerly, RI 02891-2922 |
| Franklin Leddy | Urology | Northeast Medical Group Inc | 25 Wells St, Westerly, RI 02891-2922 |
| Rachel Mccormick | Hospice/palliative Care | Hospital Medicine Associates LLC | 25 Wells St, Westerly, RI 02891-2922 |
| Jena Mcclure Richter | Nurse Practitioner | Lmw Healthcare Inc | 25 Wells St, Westerly, RI 02891-2922 |
| Patricia L Cervera | Nurse Practitioner | Hospital Medicine Associates LLC | 25 Wells St, Westerly, RI 02891-2922 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian Mccaslin Faller | Clinical Social Worker | 10 Hillview Dr, Westerly, RI 02891-1313 | |
| Brenda Medina | Clinical Social Worker | 193 Canal St, Westerly, RI 02891-1556 | |
| Jessica Wolke | Clinical Social Worker | 21 Canal St, Suite 201, Westerly, RI 02891-1587 | |
| Elizabeth M Hyman | Clinical Social Worker | 16 High St, Westerly, RI 02891-1850 | |
| David J Siciliano | Chiropractic | Chiropractic Associates of Westerly Inc | 110 High St, Westerly, RI 02891-1864 |
| Katherine A Chesson | Clinical Social Worker | 16 High St, Westerly, RI 02891-1985 | |
| Nicole Torres | Physical Therapy | Carelink, Inc. | 5 Union St, Westerly, RI 02891-2131 |
| E Tracey Files | Clinical Social Worker | 25 Granite St, Westerly, RI 02891-2207 | |
| Paula M Agins | Clinical Social Worker | 97 Cross St, Westerly, RI 02891-2448 | |
| Daniel L Thompson | Clinical Social Worker | 97 Cross St, Westerly, RI 02891-2448 | |
| Find all physicians in zip 02891 | |||
| City | WESTERLY |
| Zip Code | 02891 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WESTERLY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Courtney Peck.
| 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.