Kenneth M Brock, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Old Westbury, New York. He went to New York University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Millennium Medical Imaging Pc, Niagara Frontier Radiologic Associates Pc, Sra Medical Imaging Llc, Empire State Radiology P C and his current practice location is
19 The Pines, Old Westbury, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 633-1436.
Kenneth M Brock is licensed to practice in New York (license number 330543) 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 1861856080.
Physician's Profile
| Full Name | Kenneth M Brock |
|---|
| Gender | Male |
|---|
| Speciality | Diagnostic Radiology |
|---|
| Experience | 10 Years |
|---|
| Location | 19 The Pines, Old Westbury, New York |
|---|
| 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:
- Kenneth M Brock attended and graduated from New York University School Of Medicine in 2016
NPI Data:
- NPI Number: 1861856080
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850832122
- Enrollment ID: I20240926001907
Medical Identifiers
Medical identifiers for Kenneth M Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861856080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 330543 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Millennium Medical Imaging Pc | 5799776910 | 29 |
| Niagara Frontier Radiologic Associates Pc | 0345349387 | 19 |
| Sra Medical Imaging Llc | 1759369663 | 35 |
| Empire State Radiology P C | 4385075241 | 246 |
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. Kenneth M Brock allows following entities to bill medicare on his behalf.
| Entity Name | Millennium Medical Imaging Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1235114182
PECOS PAC ID: 5799776910
Enrollment ID: O20040518001125 |
|---|
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. Kenneth M 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 |
|---|
Kenneth M Brock, MD
215 8th St Apt 3,
Jersey City, NJ 07302-2093
Ph: (631) 942-9869 | Kenneth M Brock, MD
19 The Pines,
Old Westbury, NY 11568-1126
Ph: (516) 633-1436 |
Reviews and Comments