Nicole Brock, in Massapequa Park, NY - Medicare Physical Therapist Provider

Nicole Brock, is a medicare enrolled "Physical Therapist" provider in Massapequa Park, New York. Her current practice location is 100 Saint Regis Dr, Massapequa Park, New York. You can reach out to her office (for appointments etc.) via phone at (516) 795-3789.

Nicole Brock is licensed to practice in New York (license number 037114-1) 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 1376974774.

Contact Information

	Nicole Brock,
	100 Saint Regis Dr, Massapequa Park, NY 11762-3451
	(516) 795-3789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Brock
Gender	Female
Speciality	Physical Therapist
Location	100 Saint Regis Dr, Massapequa Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376974774
Provider Enumeration Date: 12/10/2013
Last Update Date: 12/10/2013

Medicare PECOS Information:

PECOS PAC ID: 5193036978
Enrollment ID: I20150619001567

Medical Identifiers

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

Identifier	Type	State	Issuer
1376974774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	037114-1 (New York)	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. Nicole Brock allows following entities to bill medicare on her behalf.

Provider Name	Raymond N Cecora Pt Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366506461 PECOS PAC ID: 6002889946 Enrollment ID: O20091007000332

Provider Name	Medcare Therapy Services:physical, Occupational & Massage Therapy,pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326355132 PECOS PAC ID: 4789871773 Enrollment ID: O20101202000904

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. Nicole 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
Nicole Brock, 5500 Merrick Rd, Massapequa, NY 11758-6231 Ph: (516) 798-3789	Nicole Brock, 100 Saint Regis Dr, Massapequa Park, NY 11762-3451 Ph: (516) 795-3789

Reviews and Comments

Physical Therapist in Massapequa Park, NY

Mrs. Judy Ann Snyder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Rustwood Pl, Massapequa Park, NY 11762 Phone: 516-557-3690
Mrs. Donna Marie Kowalczyk-falcone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 1st Ave, Massapequa Park, NY 11762 Phone: 917-868-8855 Fax: 516-804-3045
Karen L Russo, M.A.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Carmans Rd, Massapequa Park, NY 11762 Phone: 516-608-6200 Fax: 516-541-7368
Mr. Joseph Paul Dabovich Ii, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Judy Ter, Massapequa Park, NY 11762 Phone: 516-721-3167 Fax: 516-795-1520
Gloria Maria Rivera, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Carmans Rd, Massapequa Park, NY 11762 Phone: 516-608-6200
Nicholas A Leelum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 Wilson St, Massapequa Park, NY 11762 Phone: 516-474-9426
Christian Robert Barton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Ocean Ave, Massapequa Park, NY 11762 Phone: 845-544-6690

Nicole Brock, - Medicare Physical Therapist in Massapequa Park, NY