Mrs Dereni Blake Brock, PT in London, KY - Medicare Physical Therapy Provider

Mrs Dereni Blake Brock, PT is a medicare enrolled "Physical Therapist" provider in London, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Revolution Physical Therapy and her current practice location is 195 Commercial Dr, Ste 100, London, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 657-2354.

Mrs Dereni Blake Brock is licensed to practice in Kentucky (license number 006310) 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 1114358702.

Contact Information

	Mrs Dereni Blake Brock, PT
	195 Commercial Dr, Ste 100, London, KY 40744-5234
	(606) 657-2354
	(606) 657-2354

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dereni Blake Brock
Gender	Female
Speciality	Physical Therapy
Experience	11 Years
Location	195 Commercial Dr, London, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Dereni Blake Brock attended and graduated from University Of Kentucky College Of Medicine in 2013

NPI Data:

NPI Number: 1114358702
Provider Enumeration Date: 12/06/2013
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 7911230040
Enrollment ID: I20190605000851

Medical Identifiers

Medical identifiers for Mrs Dereni Blake Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114358702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006310 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revolution Physical Therapy	6507106812	3

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. Mrs Dereni Blake Brock allows following entities to bill medicare on her behalf.

Provider Name	Revolution Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1992277107 PECOS PAC ID: 6507106812 Enrollment ID: O20190325001054

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. Mrs Dereni Blake 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
Mrs Dereni Blake Brock, PT 195 Commercial Dr, Ste 100, London, KY 40744-5234 Ph: (606) 657-2354	Mrs Dereni Blake Brock, PT 195 Commercial Dr, Ste 100, London, KY 40744-5234 Ph: (606) 657-2354

Reviews and Comments

Physical Therapist in London, KY

Dr. Nikolus Mckinley Blair, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 192 W, London, KY 40741 Phone: 606-877-3231 Fax: 606-877-3632
Dr. Christopher Douglas Fuson, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 1690 Highway 192 W, London, KY 40741 Phone: 606-877-3231 Fax: 606-877-3632
Mrs. Stephanie Leigh Griffie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3104 Pine Top Rd, London, KY 40741 Phone: 606-862-8333 Fax: 606-862-8618
Mr. Stephen Lambert Barton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 Meyers Baker Rd, Suite 120, London, KY 40741 Phone: 606-878-1219 Fax: 606-877-1195
Sean Patrick Dourney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 London Mountain View Dr Ste 400, London, KY 40741 Phone: 606-330-0513
Mr. Edward L Valentine Iii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Commercial Dr Ste 100, London, KY 40744 Phone: 606-657-5111

Mrs Dereni Blake Brock, PT - Medicare Physical Therapist in London, KY