Brock S Clough, APRN, CRNA in Virginia, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Brock S Clough, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Virginia, Minnesota. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Central Minnesota Anesthesia Providers, Pa and his current practice location is 1101 9th St N, Virginia, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 741-0150.

Brock S Clough is licensed to practice in Minnesota (license number 2432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811534118.

Contact Information

	Brock S Clough, APRN, CRNA
	1101 9th St N, Virginia, MN 55792-2329
	(218) 741-0150
	Not Available

Map and Direction

Provider's Profile

Full Name	Brock S Clough
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1101 9th St N, Virginia, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brock S Clough graduated from nursing school in 2019

NPI Data:

NPI Number: 1811534118
Provider Enumeration Date: 12/05/2019
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6103251855
Enrollment ID: I20200127001824

Medical Identifiers

Medical identifiers for Brock S Clough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811534118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2432 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairview Northland Regional Hospital	Princeton, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Minnesota Anesthesia Providers, Pa	7315848876	11

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. Brock S Clough allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	Central Minnesota Anesthesia Providers, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881689974 PECOS PAC ID: 7315848876 Enrollment ID: O20040116000877

Entity Name	Anesthesiology, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459

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. Brock S Clough 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
Brock S Clough, APRN, CRNA 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Brock S Clough, APRN, CRNA 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Virginia, MN

Lance Manty, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792 Phone: 218-741-0150
Mr. Erik Michael Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-749-9457 Fax: 218-749-9427
Lynette Corrine Klos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-3340
Gary Wayne Tuthill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-3340
Joseph F Carter, APRN,CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150
Theresa Marie Duffy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-749-9457
Robert Jon Hill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Essentia Health Virginia, Virginia, MN 55792 Phone: 218-741-3340

Brock S Clough, APRN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Virginia, MN