Mr Derek Jason Brock, CNP in Alliance, OH - Medicare Nurse Practitioner

Mr Derek Jason Brock, CNP is a medicare enrolled "Nurse Practitioner - Family" in Alliance, Ohio. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Union Physician Services Llc and his current practice location is 149 E Simpson St, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 823-3856.

Mr Derek Jason Brock is licensed to practice in Ohio (license number COA.15415-NP) 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 1588094882.

Contact Information

	Mr Derek Jason Brock, CNP
	149 E Simpson St, Alliance, OH 44601-4219
	(330) 823-3856
	(330) 829-6688

Map and Direction

Provider's Profile

Full Name	Mr Derek Jason Brock
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	149 E Simpson St, Alliance, Ohio
Accepts Medicare Assignments	Yes. 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 Derek Jason Brock graduated from nursing school in 2013

NPI Data:

NPI Number: 1588094882
Provider Enumeration Date: 11/22/2013
Last Update Date: 07/01/2015

Medicare PECOS Information:

PECOS PAC ID: 1456589191
Enrollment ID: I20140102000589

Medical Identifiers

Medical identifiers for Mr Derek Jason Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588094882	NPI	-	NPPES
0095680	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.15415-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Union Hospital	Dover, OH	Hospital
Mercy Medical Center	Canton, OH	Hospital
Trinity Hospital Twin City	Dennison, OH	Hospital
Aultman Hospital	Canton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Union Physician Services Llc	0143366591	73

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 Derek Jason Brock allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Diagnostic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066

Entity Name	Union Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215169826 PECOS PAC ID: 0143366591 Enrollment ID: O20091015000294

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 Derek Jason 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 Address	Practice Location Address
Mr Derek Jason Brock, CNP Po Box 932100, Cleveland, OH 44193-0008 Ph: (216) 472-2730	Mr Derek Jason Brock, CNP 149 E Simpson St, Alliance, OH 44601-4219 Ph: (330) 823-3856

Reviews and Comments

Nurse Practitioner Nurses in Alliance, OH

Terri Lenigar, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7940 Fax: 330-829-8000
Tommi Elizabeth Haidet, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12080 Easton St Ne, Alliance, OH 44601 Phone: 330-257-4594
Mrs. Brittany Nicole Martin, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-581-0196
Valerie Reynolds, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-6000
Mrs. Kathleen Hathaway, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 149 E Simpson St, Alliance, OH 44601 Phone: 330-823-3856 Fax: 330-829-6688
Brandy Jo Stufft, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Glamorgan St, Alliance, OH 44601 Phone: 330-823-3951 Fax: 330-823-3996
Diane S Papadeonise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-8645 Fax: 330-829-8660

Mr Derek Jason Brock, CNP - Medicare Nurse Practitioner in Alliance, OH