Timothy Zachary Brock, MD is a medicare enrolled "Surgery" physician in Hiram, Georgia. He graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is
148 Bill Carruth Pkwy, Suite 180, Hiram, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 445-4915.
Timothy Zachary Brock is licensed to practice in Georgia (license number 69551) 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 1679772297.
Physician's Profile
| Full Name | Timothy Zachary Brock |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 18 Years |
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| Location | 148 Bill Carruth Pkwy, Hiram, Georgia |
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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:
- Timothy Zachary Brock graduated from medical school in 2007
NPI Data:
- NPI Number: 1679772297
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224278809
- Enrollment ID: I20130702000227
Medical Identifiers
Medical identifiers for Timothy Zachary Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679772297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | LL30096 (South Carolina) | Secondary |
| 208600000X | Surgery | 69551 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
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. Timothy Zachary Brock allows following entities to bill medicare on his behalf.
| Entity Name | Wellstar Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Timothy Zachary 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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Timothy Zachary Brock, MD
148 Bill Carruth Pkwy, Suite 180,
Hiram, GA 30141-3754
Ph: (770) 445-4915 | Timothy Zachary Brock, MD
148 Bill Carruth Pkwy, Suite 180,
Hiram, GA 30141-3754
Ph: (770) 445-4915 |
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