Anna Peacock Bettendorf, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

9400419 Issued in NC

Practice address

2208 S 17TH St
Second Floor
Wilmington, NC 28401-7593

Phone

(910) 251-6755

Fax

(910) 458-8619

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of North Carolina at Chapel Hill School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peacock-Bettendorf, LLC

  • Spinal Cord Injury Medicine Physician
  • Wilmington, NC
  • NPI 1134236078
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1679765648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "address_2": "SECOND FLOOR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-251-6755",
            "fax_number": "910-458-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "address_2": "SECOND FLOOR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-251-6755",
            "fax_number": "910-458-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENDORF",
        "first_name": "ANNA",
        "middle_name": "PEACOCK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "9400419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "130AX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130AX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janalynn F Beste, M.D.
• Todd M Beste, MD
• Kaden Beston
• Malgorzata Maria Betkowski, MSW
• Anjala Betleyoun
• Better You Chiropractic & Dry Needling PLLC
• Rachel E Betts, NP
• Melanie Bevan-Xenelis
• Lashawn Beverly-Howard, NP
• Avery A Bevin, M.D.

• Physical Medicine & Rehabilitation Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.