Marty Jacob Brock, DPT in Hattiesburg, MS - Medicare Physical Therapist Provider

Marty Jacob Brock, DPT is a medicare enrolled "Physical Therapist" provider in Hattiesburg, Mississippi. His current practice location is 7 Rivers Dr Ste 10&20, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 909-5006.

Marty Jacob Brock is licensed to practice in Mississippi (license number PT6673) 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 1437793163.

Contact Information

	Marty Jacob Brock, DPT
	7 Rivers Dr Ste 10&20, Hattiesburg, MS 39401-1323
	(601) 909-5006
	(601) 909-5008

Map and Direction

Healthcare Provider's Profile

Full Name	Marty Jacob Brock
Gender	Male
Speciality	Physical Therapist
Location	7 Rivers Dr Ste 10&20, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437793163
Provider Enumeration Date: 11/06/2019
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8022482314
Enrollment ID: I20230329000099

Medical Identifiers

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

Identifier	Type	State	Issuer
1437793163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6673 (Mississippi)	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. Marty Jacob Brock allows following entities to bill medicare on his behalf.

Provider Name	Performance Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549

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. Marty Jacob 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
Marty Jacob Brock, DPT 8 Deer Rdg, Petal, MS 39465-8713 Ph: (601) 543-9018	Marty Jacob Brock, DPT 7 Rivers Dr Ste 10&20, Hattiesburg, MS 39401-1323 Ph: (601) 909-5006

Reviews and Comments

Physical Therapist in Hattiesburg, MS

Southern Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Willow Bend Dr, Hattiesburg, MS 39402 Phone: 601-336-8287
Nicholas Walker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377
Jeremy Jayrell Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377
Mr. Douglas Earl Peterman, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782
James R Burns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Park Fl 1, Hattiesburg, MS 39401 Phone: 601-268-5757 Fax: 601-579-5220
Katherine Anne Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6156 Highway 98, Suite 70, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782
Nathan Samuel Reynolds, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Park Fl 1, Hattiesburg, MS 39401 Phone: 601-268-5757 Fax: 601-579-5220

Marty Jacob Brock, DPT - Medicare Physical Therapist in Hattiesburg, MS