Evan Brock, in Florence, AL - Medicare Nurse Anesthetist, Certified Registered

Evan Brock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florence, Alabama. His current practice location is 1701 Veterans Dr, Florence, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 200-2913.

Evan Brock is licensed to practice in Alabama (license number 1-156034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922838093.

Contact Information

	Evan Brock,
	1701 Veterans Dr, Florence, AL 35630-4928
	(256) 200-2913
	Not Available

Map and Direction

Provider's Profile

Full Name	Evan Brock
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1701 Veterans Dr, Florence, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922838093
Provider Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6204368921
Enrollment ID: I20241018000457

Medical Identifiers

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

Identifier	Type	State	Issuer
1922838093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-156034 (Alabama)	Primary

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

Entity Name	Namc Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710551940 PECOS PAC ID: 3476959966 Enrollment ID: O20210908003813

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. Evan 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
Evan Brock, 502 W Pasadena Ave, Muscle Shoals, AL 35661-2142 Ph: (256) 200-2913	Evan Brock, 1701 Veterans Dr, Florence, AL 35630-4928 Ph: (256) 200-2913

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Florence, AL

Jared Gregg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Laura Avelyn Horton, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Matthew Johnson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-768-8323
Mr. Ryan Todd Wells Vii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Mr. Gary Shawn Puryear, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Regina Romine Painter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Stella Donna Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775

Evan Brock, - Medicare Nurse Anesthetist, Certified Registered in Florence, AL