Jessica Prock, is a medicare enrolled "Military Health Care Provider" physician in Portsmouth, Virginia. Her current practice location is
620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 953-5008.
Jessica Prock is licensed to practice in Virginia (license number 0102206832) 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 1215430061.
Physician's Profile
Full Name | Jessica Prock |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
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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: 1215430061
- Provider Enumeration Date: 03/16/2018
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234553363
- Enrollment ID: I20200722003026
Medical Identifiers
Medical identifiers for Jessica Prock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215430061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0102206832 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | 0102206832 (Virginia) | 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. Jessica Prock 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 |
Jessica Prock, 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: () - | Jessica Prock, 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5008 |
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