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 9 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 |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 9 Years |
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| Location | 19 The Pines, Old Westbury, New York |
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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. |
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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 |
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| 1861856080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 330543 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| 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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235114182
PECOS PAC ID: 5799776910
Enrollment ID: O20040518001125 |
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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. 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 |
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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 |
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