Mitch Edmond Brock, MD in Clackamas, OR

Mitch Edmond Brock, MD is a medicare enrolled "Otolaryngology" physician in Clackamas, Oregon. His current practice location is 9800 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 653-6440.

Mitch Edmond Brock is licensed to practice in Oregon (license number MD19303) 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 1295847440.

Contact Information

	Mitch Edmond Brock, MD
	9800 Se Sunnyside Rd, Clackamas, OR 97015-9750
	(503) 653-6440
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitch Edmond Brock
Gender	Male
Speciality	Otolaryngology
Location	9800 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295847440
Provider Enumeration Date: 08/31/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8224115514
Enrollment ID: I20080410000721

Medical Identifiers

Medical identifiers for Mitch Edmond Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295847440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD00034914 (Washington)	Secondary
207Y00000X	Otolaryngology	MD19303 (Oregon)	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. Mitch Edmond Brock allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Mitch Edmond 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
Mitch Edmond Brock, MD 1203 Stonehaven Ct, West Linn, OR 97068-1870 Ph: (503) 635-7389	Mitch Edmond Brock, MD 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 653-6440

Reviews and Comments

Otolaryngology Doctors in Clackamas, OR

Anna Helen Grosz, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3995
Caroline Yi Yang, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd., Clackamas, OR 97015 Phone: 503-653-6440
Haena Kim, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 Phone: 503-233-5548 Fax: 503-230-1009
Geoffrey Lawrence, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440
Dr. Sharon Marie Higgins, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3865
Dr. Clee E Lloyd, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3199 Fax: 503-571-9004

Mitch Edmond Brock, MD - Medicare Otolaryngology in Clackamas, OR