Dr Brock A Phillips, MD is a medicare enrolled "Pediatrics" physician in Chatham, Illinois. His current practice location is
125 E Plummer Blvd Ste A, Chatham, Illinois. You can reach out to his office (for appointments etc.) via phone at
(314) 454-6006.
Dr Brock A Phillips is licensed to practice in Illinois (license number 036152530) 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 1710407002.
Physician's Profile
Full Name | Dr Brock A Phillips |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 125 E Plummer Blvd Ste A, Chatham, Illinois |
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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: 1710407002
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668895228
- Enrollment ID: I20200715000613
Medical Identifiers
Medical identifiers for Dr Brock A Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710407002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036152530 (Illinois) | 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. Dr Brock A Phillips allows following entities to bill medicare on his behalf.
Entity Name | Hshs Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
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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. Dr Brock A Phillips 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 |
Dr Brock A Phillips, MD 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 Ph: (314) 454-6006 | Dr Brock A Phillips, MD 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 Ph: (314) 454-6006 |
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