Kennedy M Brock, CDCA is a
Case Manager/care Coordinator based in Newark, Ohio. Kennedy M Brock is licensed to practice in * (Not Available) (license number ) and her current practice location is
22 N 1st St, Newark, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 326-9099.
NPI number for Kennedy M Brock is 1811556244 and her current mailing address is 445 E Dublin Granville Rd, Worthington, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811556244.
Healthcare Provider's Profile
| Full Name | Kennedy M Brock |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 22 N 1st St, Newark, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811556244
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 07/11/2023
Medical Identifiers
Medical identifiers for Kennedy M Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811556244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.169575 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Kennedy M Brock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kennedy M Brock, CDCA
445 E Dublin Granville Rd,
Worthington, OH 43085-3192
Ph: (614) 844-3800 | Kennedy M Brock, CDCA
22 N 1st St,
Newark, OH 43055-5608
Ph: (740) 326-9099 |
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