Dr Brock B Mullenbach, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Bourbonnais, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2019 and has 6 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Illinois Bone And Joint Institute, Llc and his current practice location is
6712 N Convent St, Bourbonnais, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 605-8403.
Dr Brock B Mullenbach is licensed to practice in Illinois (license number 036.164439) 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 1841750924.
Physician's Profile
| Full Name | Dr Brock B Mullenbach |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 6 Years |
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| Location | 6712 N Convent St, Bourbonnais, Illinois |
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| 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:
- Dr Brock B Mullenbach attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2019
NPI Data:
- NPI Number: 1841750924
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678996766
- Enrollment ID: I20240815002231
Medical Identifiers
Medical identifiers for Dr Brock B Mullenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841750924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 036.164439 (Illinois) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 036.164439 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Illinois Bone And Joint Institute, Llc | 6002814878 | 550 |
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. Dr Brock B Mullenbach allows following entities to bill medicare on his behalf.
| Entity Name | Illinois Bone And Joint Institute Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
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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. Dr Brock B Mullenbach 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 |
Dr Brock B Mullenbach, DO 6712 N Convent St, Bourbonnais, IL 60914-1528 Ph: (815) 605-8403 | Dr Brock B Mullenbach, DO 6712 N Convent St, Bourbonnais, IL 60914-1528 Ph: (815) 605-8403 |
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