Mrs Angela Christina Brock, LCSW, LMFT MBA is a medicare enrolled "Social Worker" provider in Louisville, Kentucky. She graduated from healthcare school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brock Family Therapy Center Inc. and her current practice location is
10300 Brookridge Village Blvd, Suite 104, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 785-4322.
Mrs Angela Christina Brock is licensed to practice in Kentucky (license number 3035) 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 1073734927.
Healthcare Provider's Profile
| Full Name | Mrs Angela Christina Brock |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 21 Years |
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| Location | 10300 Brookridge Village Blvd, Louisville, Kentucky |
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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. |
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Medical Education and Training:
- Mrs Angela Christina Brock graduated from medical school in 2003
NPI Data:
- NPI Number: 1073734927
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557422243
- Enrollment ID: I20081213000174
Medical Identifiers
Medical identifiers for Mrs Angela Christina Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073734927 | NPI | - | NPPES |
| 7100068240 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | KY-0617 (Kentucky) | Secondary |
| 104100000X | Social Worker | 3035 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brock Family Therapy Center Inc. | 7315253416 | 5 |
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. Mrs Angela Christina Brock allows following entities to bill medicare on her behalf.
| Entity Name | Brock Family Therapy Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609250992
PECOS PAC ID: 7315253416
Enrollment ID: O20150903002947 |
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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. Mrs Angela Christina 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 |
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Mrs Angela Christina Brock, LCSW, LMFT MBA
10300 Brookridge Village Blvd, Suite 104,
Louisville, KY 40291
Ph: (502) 785-4322 | Mrs Angela Christina Brock, LCSW, LMFT MBA
10300 Brookridge Village Blvd, Suite 104,
Louisville, KY 40291
Ph: (502) 785-4322 |
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