Kathleen Marie Eiseman-brock, MSW, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Glen Arm, Maryland. Her current practice location is
3 Wagon Wheel Ct, Glen Arm, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 456-6149.
Kathleen Marie Eiseman-brock is licensed to practice in Maryland (license number 08461) 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 1841983160.
Healthcare Provider's Profile
Full Name | Kathleen Marie Eiseman-brock |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3 Wagon Wheel Ct, Glen Arm, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841983160
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224497979
- Enrollment ID: I20230629000102
Medical Identifiers
Medical identifiers for Kathleen Marie Eiseman-brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841983160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 08461 (Maryland) | 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. Kathleen Marie Eiseman-brock allows following entities to bill medicare on her behalf.
Entity Name | Supportive Care Of Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137 |
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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. Kathleen Marie Eiseman-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 |
Kathleen Marie Eiseman-brock, MSW, LCSW-C 3 Wagon Wheel Ct, Glen Arm, MD 21057-9431 Ph: (410) 456-6149 | Kathleen Marie Eiseman-brock, MSW, LCSW-C 3 Wagon Wheel Ct, Glen Arm, MD 21057-9431 Ph: (410) 456-6149 |
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