Kathleen Marie Eiseman-brock, MSW, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Glen Arm, Maryland. She graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Supportive Care Of Maryland Llc, Supportive Care Of Maryland Llc and her current practice location is
3 Wagon Wheel Ct, Glen Arm, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 456-6149.
Kathleen Marie Eiseman-brock is licensed to practice in Maryland (license number 08461) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841983160.
Healthcare Provider's Profile
| Full Name | Kathleen Marie Eiseman-brock |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 3 Wagon Wheel Ct, Glen Arm, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Marie Eiseman-brock graduated from medical school in 1992
NPI Data:
- NPI Number: 1841983160
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224497979
- Enrollment ID: I20230629000102
Medical Identifiers
Medical identifiers for Kathleen Marie Eiseman-brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841983160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 08461 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Supportive Care Of Maryland Llc | 9234460999 | 32 |
| Supportive Care Of Maryland Llc | 9234460999 | 32 |
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. Kathleen Marie Eiseman-brock allows following entities to bill medicare on her behalf.
| Entity Name | Supportive Care Of Maryland Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137 |
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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. Kathleen Marie Eiseman-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 |
Kathleen Marie Eiseman-brock, MSW, LCSW-C 3 Wagon Wheel Ct, Glen Arm, MD 21057-9431 Ph: (410) 456-6149 | Kathleen Marie Eiseman-brock, MSW, LCSW-C 3 Wagon Wheel Ct, Glen Arm, MD 21057-9431 Ph: (410) 456-6149 |
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