Heather Dawn Brock, - Medicare Nurse Practitioner in Eglin, FL

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Heather Dawn Brock, is a medicare enrolled "Nurse Practitioner - Family" in Eglin, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Santa Rosa Hma Physician Management, Llc, Ibrahim Heart Clinic Pllc and her current practice location is 307 Boatner Rd Ste 114, Eglin, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 883-9042.

Heather Dawn Brock is licensed to practice in Florida (license number 11015727) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003574500.

Contact Information

Heather Dawn Brock,
307 Boatner Rd Ste 114,
Eglin, FL 32542-1302
(850) 883-9042
(850) 883-9702

Map and Direction




Provider's Profile

Full NameHeather Dawn Brock
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location307 Boatner Rd Ste 114, Eglin, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather Dawn Brock graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1003574500
  • Provider Enumeration Date: 12/01/2021
  • Last Update Date: 05/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820438617
  • Enrollment ID: I20240426001059

Medical Identifiers

Medical identifiers for Heather Dawn Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003574500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-182636 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 11015727 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin Cities HospitalNiceville, FLHospital
Santa Rosa Medical CenterMilton, FLHospital
Fort Walton Beach Medical CenterFort walton beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santa Rosa Hma Physician Management, Llc165847853253
Ibrahim Heart Clinic Pllc468895864841

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. Heather Dawn Brock allows following entities to bill medicare on her behalf.
Entity NameSanta Rosa Hma Physician Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447365366
PECOS PAC ID: 1658478532
Enrollment ID: O20070823000556
Entity NameIbrahim Heart Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629511035
PECOS PAC ID: 4688958648
Enrollment ID: O20170313000103

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. Heather Dawn 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 AddressPractice Location Address
Heather Dawn Brock,
307 Boatner Rd Ste 114,
Eglin, FL 32542-1302

Ph: () -		Heather Dawn Brock,
307 Boatner Rd Ste 114,
Eglin, FL 32542-1302

Ph: (850) 883-9042

Reviews and Comments


Nurse Practitioner Nurses in Eglin, FL

Carolyn Ann Space, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 96 Mdg, 307 Boatner Road, Eglin, FL 32542
Phone: 850-883-9957    
Ms. Victoria Margaret Baker-janis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 307 Boatner Rd, Suite 114, Eglin, FL 32542
Phone: 850-883-8600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.