Kenneth M Brock, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Old Westbury, New York. His current practice location is
19 The Pines, Old Westbury, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 633-1436.
Kenneth M Brock is licensed to practice in New York (license number 330543) 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 1861856080.
Physician's Profile
Full Name | Kenneth M Brock |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 19 The Pines, Old Westbury, New York |
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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: 1861856080
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850832122
- Enrollment ID: I20240926001907
Medical Identifiers
Medical identifiers for Kenneth M Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861856080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 330543 (New York) | 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. Kenneth M Brock allows following entities to bill medicare on his behalf.
Entity Name | Millennium Medical Imaging Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
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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. Kenneth M 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 |
Kenneth M Brock, MD 215 8th St Apt 3, Jersey City, NJ 07302-2093 Ph: (631) 942-9869 | Kenneth M Brock, MD 19 The Pines, Old Westbury, NY 11568-1126 Ph: (516) 633-1436 |
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