Ms Katrina A Brock, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Bad Axe, Michigan. She graduated from healthcare school in 1998 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice List Psychological Services, Plc and her current practice location is
110 E Huron Ave, Bad Axe, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 975-6696.
Ms Katrina A Brock is licensed to practice in Michigan (license number 6801082828) 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 1285819532.
Healthcare Provider's Profile
| Full Name | Ms Katrina A Brock |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 28 Years |
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| Location | 110 E Huron Ave, Bad Axe, Michigan |
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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:
- Ms Katrina A Brock graduated from medical school in 1998
NPI Data:
- NPI Number: 1285819532
- Provider Enumeration Date: 01/07/2008
- Last Update Date: 07/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 8224189212
- Enrollment ID: I20090702000477
Medical Identifiers
Medical identifiers for Ms Katrina A Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285819532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00662 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801082828 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801082828 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| List Psychological Services, Plc | 6709799323 | 28 |
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. Ms Katrina A Brock allows following entities to bill medicare on her behalf.
| Entity Name | List Psychological Services, PLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336176031 PECOS PAC ID: 6709799323 Enrollment ID: O20031110000689 |
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| Entity Name | Marlette Regional Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1346325214 PECOS PAC ID: 3971408121 Enrollment ID: O20070223000678 |
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| Entity Name | Deckerville Community Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1619095718 PECOS PAC ID: 2163508821 Enrollment ID: O20080321000183 |
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| Entity Name | Hills & Dales General Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1154367001 PECOS PAC ID: 8022910363 Enrollment ID: O20101122000277 |
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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. Ms Katrina A 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 |
Ms Katrina A Brock, LMSW 443 N State St, Caro, MI 48723-1539 Ph: (989) 672-6160 | Ms Katrina A Brock, LMSW 110 E Huron Ave, Bad Axe, MI 48413-1312 Ph: (989) 975-6696 |
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