Gina Brock, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Savannah, Georgia. Her current practice location is
4700 Waters Ave, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 350-8715.
Gina Brock is licensed to practice in * (Not Available) (license number ) 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 1154374668.
Physician's Profile
Full Name | Gina Brock |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4700 Waters Ave, Savannah, Georgia |
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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: 1154374668
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284695859
- Enrollment ID: I20220912002215
Medical Identifiers
Medical identifiers for Gina Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154374668 | NPI | - | NPPES |
P00164456 | Other | FL | RAILROAD MEDICARE - FLAGL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA9102907 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Gina 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 |
Gina Brock, DO 1107 E 66th St, Savannah, GA 31404-5701 Ph: (912) 350-8837 | Gina Brock, DO 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-8715 |
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