Mikaela Jade Brock, in Colorado Springs, CO - Medicare Occupational Therapist Provider

Mikaela Jade Brock, is a medicare enrolled "Occupational Therapist" provider in Colorado Springs, Colorado. Her current practice location is 2776 Janitell Rd, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 332-4689.

Mikaela Jade Brock is licensed to practice in Colorado (license number OT.0007579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083307227.

Contact Information

	Mikaela Jade Brock,
	2776 Janitell Rd, Colorado Springs, CO 80906-4103
	(719) 332-4689
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Jade Brock
Gender	Female
Speciality	Occupational Therapist
Location	2776 Janitell Rd, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083307227
Provider Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1951761162
Enrollment ID: I20230720000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1083307227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT.0007579 (Colorado)	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. Mikaela Jade Brock allows following entities to bill medicare on her behalf.

Provider Name	Katey Blehm M.a. Ccc-slp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457962417 PECOS PAC ID: 3476866880 Enrollment ID: O20160505000820

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. Mikaela Jade 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
Mikaela Jade Brock, 6077 Mumford Dr, Colorado Springs, CO 80925-8472 Ph: () -	Mikaela Jade Brock, 2776 Janitell Rd, Colorado Springs, CO 80906-4103 Ph: (719) 332-4689

Reviews and Comments

Occupational Therapist in Colorado Springs, CO

Traci Angelia, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Tenderfoot Hill Rd, Colorado Springs, CO 80906 Phone: 303-587-2241
Rehab Results, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9475 Briar Village Pt Ste 230, Colorado Springs, CO 80920 Phone: 719-533-1000
Kelli Biel-kautz Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2656 Thrush Grv, Colorado Springs, CO 80920 Phone: 719-265-2515 Fax: 866-586-4505
Heather Morton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd Ste 255, Colorado Springs, CO 80910 Phone: 719-305-8000 Fax: 719-305-8001
Treehouse Occupational Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 E Monument St Apt 4, Colorado Springs, CO 80903 Phone: 618-806-8829
Mrs. Cassie Ann Thornton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6665 Sky Hawk Ct, Colorado Springs, CO 80919 Phone: 303-304-0268
Vanessa Grace, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9208 Grand Cordera Pkwy, Colorado Springs, CO 80924 Phone: 719-522-2000

Mikaela Jade Brock, - Medicare Occupational Therapist in Colorado Springs, CO