Clint Brock, - Medicare Certified Registered Nurse Anesthetist (crna) in Mesa, AZ

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Clint Brock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners Of Arizona Llc, Banner - University Hospital Based Physicians Llc and his current practice location is 1823 E Hackamore St, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 620-0414.

Clint Brock is licensed to practice in Arizona (license number 194103) 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 1275070369.

Contact Information

Clint Brock,
1823 E Hackamore St,
Mesa, AZ 85203-3908
(480) 620-0414
Not Available

Map and Direction




Provider's Profile

Full NameClint Brock
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location1823 E Hackamore St, Mesa, Arizona
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:
  • Clint Brock graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1275070369
  • Provider Enumeration Date: 01/26/2017
  • Last Update Date: 01/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5890053912
  • Enrollment ID: I20180509001151

Medical Identifiers

Medical identifiers for Clint Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275070369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 194103 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Baywood Medical CenterMesa, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Partners Of Arizona Llc8628317179181
Banner - University Hospital Based Physicians Llc1052614294244

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. Clint Brock allows following entities to bill medicare on his behalf.
Entity NameGateway Anesthesia And Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710026125
PECOS PAC ID: 0042314668
Enrollment ID: O20070409000257
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927

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. Clint Brock 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
Clint Brock,
1823 E Hackamore St,
Mesa, AZ 85203-3908

Ph: (480) 620-0414		Clint Brock,
1823 E Hackamore St,
Mesa, AZ 85203-3908

Ph: (480) 620-0414

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mesa, AZ

Annabell Stimac, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3060 N Ridgecrest, Apt 164, Mesa, AZ 85207
Phone: 480-654-8197    
Mr. Stephen Troy Porter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 135 S Power Rd Ste 110, Mesa, AZ 85206
Phone: 480-745-8577    
Candice Weierman Rodriguez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206
Phone: 480-981-2400    Fax: 480-981-2407
Jennifer Michelle Hayden, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206
Phone: 623-271-2254    
Craig Ryan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209
Phone: 480-358-6100    
Stuart Russell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2330 E Jasmine St, Mesa, AZ 85213
Phone: 480-980-7302    
Mrs. Valerie A Soler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7260 E Eagle Crest Dr, #50, Mesa, AZ 85207
Phone: 602-499-6055    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.