Clint Brock, in Mesa, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Clint Brock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Summit Anesthesia Services Pllc, Greater Anesthesia Solutions and his current practice location is 1823 E Hackamore St, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 620-0414.

Clint Brock is licensed to practice in Arizona (license number 194103) 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 1275070369.

Contact Information

	Clint Brock,
	1823 E Hackamore St, Mesa, AZ 85203-3908
	(480) 620-0414
	Not Available

Map and Direction

Provider's Profile

Full Name	Clint Brock
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	1823 E Hackamore St, Mesa, Arizona
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:

Clint Brock graduated from nursing school in 2017

NPI Data:

NPI Number: 1275070369
Provider Enumeration Date: 01/26/2017
Last Update Date: 01/26/2017

Medicare PECOS Information:

PECOS PAC ID: 5890053912
Enrollment ID: I20180509001151

Medical Identifiers

Medical identifiers for Clint Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275070369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	194103 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Baywood Medical Center	Mesa, AZ	Hospital
Arizona Spine And Joint Hospital	Mesa, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Anesthesia Services Pllc	3971850892	57
Greater Anesthesia Solutions	9234357906	166

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. Clint Brock allows following entities to bill medicare on his behalf.

Entity Name	Gateway Anesthesia And Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710026125 PECOS PAC ID: 0042314668 Enrollment ID: O20070409000257

Entity Name	Greater Anesthesia Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525

Entity Name	Banner - University Hospital Based Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508

Entity Name	Summit Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694

Entity Name	Anesthesia Partners Of Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927

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. Clint 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
Clint Brock, 1823 E Hackamore St, Mesa, AZ 85203-3908 Ph: (480) 620-0414	Clint Brock, 1823 E Hackamore St, Mesa, AZ 85203-3908 Ph: (480) 620-0414

Reviews and Comments

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Clint Brock, - Medicare Certified Registered Nurse Anesthetist (crna) in Mesa, AZ