Dr Charles E Brock Jr, MD - Medicare Family Practice in Cleveland, MS

Dr Charles E Brock Jr, MD is a medicare enrolled "Family Medicine" physician in Cleveland, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bolivar Physician Practices Llc and his current practice location is 810 E Sunflower Rd, Cleveland, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 843-3606.

Dr Charles E Brock Jr is licensed to practice in Mississippi (license number 11341) 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 1689761280.

Contact Information

Dr Charles E Brock Jr, MD
810 E Sunflower Rd,
Cleveland, MS 38732-2800
(662) 843-3606
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles E Brock Jr
GenderMale
SpecialityFamily Practice
Experience38 Years
Location810 E Sunflower Rd, Cleveland, Mississippi
Accepts Medicare AssignmentsYes. 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 Charles E Brock Jr attended and graduated from University Of Mississippi School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1689761280
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032014279
  • Enrollment ID: I20031205000114

Medical Identifiers

Medical identifiers for Dr Charles E Brock Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689761280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11341 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoration Home Health Care MississippiCleveland, MSHome health agency
Sunflower Home HealthCleveland, MSHome health agency
Mid Delta Home Health AgencyBelzoni, MSHome health agency
Sta Home Health And HospiceGreenwood, MSHome health agency
Adoration Home Health And Hospice Care MississippiIndianola, MSHome health agency
Hospice Of North SunflowerRuleville, MSHospice
Bolivar Medical CenterCleveland, MSHospital
Yalobusha General HospitalWater valley, MSHospital
North Sunflower Medical Center CahRuleville, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bolivar Physician Practices Llc630599589516

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 Charles E Brock Jr allows following entities to bill medicare on his behalf.
Entity NameBolivar Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063659530
PECOS PAC ID: 6305995895
Enrollment ID: O20090512000274

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 Charles E Brock Jr 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 AddressPractice Location Address
Dr Charles E Brock Jr, MD
498 Hillcrest Cir,
Cleveland, MS 38732-2008

Ph: (662) 843-1433
Dr Charles E Brock Jr, MD
810 E Sunflower Rd,
Cleveland, MS 38732-2800

Ph: (662) 843-3606

Reviews and Comments


Family Medicine Doctors in Cleveland, MS

Dr. Nate Brown, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 403 South Davis St, Cleveland, MS 38732
Phone: 662-843-7299    Fax: 662-843-0010
Dr. Patrick Brent Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 803 1st St, Cleveland, MS 38732
Phone: 662-843-2721    Fax: 662-846-1728
Dr. David Walt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732
Phone: 662-843-3606    Fax: 662-846-1194
Dr. Don Blackwood, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 803 1st St, Cleveland, MS 38732
Phone: 662-843-2721    
Dr. Scott Nelson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 907 E Sunflower Rd, Ste 101, Cleveland, MS 38732
Phone: 662-721-1399    Fax: 662-721-1380
Dr. Degail Jamar Hadley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Sunflower Rd, Cleveland, MS 38732
Phone: 662-441-2309    Fax: 662-545-4320

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.