Dr Lee J Brock, MD in Tripler Amc, HI

Dr Lee J Brock, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Tripler Amc, Hawaii. His current practice location is 1 Jarrett White Rd, Tripler Amc, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 433-5723.

Dr Lee J Brock is licensed to practice in California (license number A90803) 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 1912008871.

Contact Information

	Dr Lee J Brock, MD
	1 Jarrett White Rd, Tripler Amc, HI 96859-5001
	(808) 433-5723
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lee J Brock
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	1 Jarrett White Rd, Tripler Amc, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912008871
Provider Enumeration Date: 09/25/2006
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5395118962
Enrollment ID: I20230301001502

Medical Identifiers

Medical identifiers for Dr Lee J Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912008871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	A90803 (California)	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 Lee J Brock allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Valley Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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 Lee J 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
Dr Lee J Brock, MD 633d Medical Group, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 225-7630	Dr Lee J Brock, MD 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (808) 433-5723

Reviews and Comments

Pediatrics Doctors in Tripler Amc, HI

Dr. Alison Lorraine Semanoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 717-329-5682
Walter K. Imai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558
Amy F. Lumeng, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6661 Fax: 808-433-1551
Dr. Julie Anne Baunchalk, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-9728
Dr. Donald Ames Person, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558
Dr. Lingie Chiu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-4837 Fax: 808-433-4837
Dr. Mark William Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Triple Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558

Dr Lee J Brock, MD - Medicare Pediatrics in Tripler Amc, HI