Mr Brock Eric Ebbing, PA-C is a
Physician Assistant based in Stone Ridge, Virginia. Mr Brock Eric Ebbing is licensed to practice in Virginia (license number 0110006624) and his current practice location is
42010 Village Center Plz Ste 100, Stone Ridge, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 542-7921.
NPI number for Mr Brock Eric Ebbing is 1801459086 and his current mailing address is 42010 Village Center Plz Ste 100, Stone Ridge, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801459086.
Provider's Profile
| Full Name | Mr Brock Eric Ebbing |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 42010 Village Center Plz Ste 100, Stone Ridge, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801459086
- Provider Enumeration Date: 04/15/2019
- Last Update Date: 04/15/2019
Medical Identifiers
Medical identifiers for Mr Brock Eric Ebbing such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801459086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110006624 (Virginia) | Primary |
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. Mr Brock Eric Ebbing is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brock Eric Ebbing, PA-C
42010 Village Center Plz Ste 100,
Stone Ridge, VA 20105-3036
Ph: (703) 542-7921 | Mr Brock Eric Ebbing, PA-C
42010 Village Center Plz Ste 100,
Stone Ridge, VA 20105-3036
Ph: (703) 542-7921 |
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