Brock Alonzo, MD is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Hamilton, Montana. His current practice location is
300 N 10th St Ste A, Hamilton, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 363-5434.
Brock Alonzo is licensed to practice in Montana (license number 77900) 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 1144649138.
Physician's Profile
Full Name | Brock Alonzo |
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Gender | Male |
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Speciality | Ophthalmology - Glaucoma Specialist |
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Location | 300 N 10th St Ste A, Hamilton, Montana |
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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: 1144649138
- Provider Enumeration Date: 04/07/2014
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567770415
- Enrollment ID: I20180717000087
Medical Identifiers
Medical identifiers for Brock Alonzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144649138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207WX0009X | Ophthalmology - Glaucoma Specialist | 77900 (Montana) | Secondary |
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. Brock Alonzo allows following entities to bill medicare on his behalf.
Entity Name | University Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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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. Brock Alonzo 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 |
Brock Alonzo, MD 300 N 10th St Ste A, Hamilton, MT 59840-5322 Ph: (406) 363-5434 | Brock Alonzo, MD 300 N 10th St Ste A, Hamilton, MT 59840-5322 Ph: (406) 363-5434 |
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