Brock Harrison Wrinkles, PA is a medicare enrolled "Family Medicine - Addiction Medicine" in Hot Springs, Arkansas. His current practice location is
1801 Central Ave Ste A, Hot Springs, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 623-5598.
Brock Harrison Wrinkles is licensed to practice in Arkansas (license number PA-720) 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 1558809475.
Provider's Profile
Full Name | Brock Harrison Wrinkles |
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Gender | Male |
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Speciality | Family Medicine - Addiction Medicine |
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Location | 1801 Central Ave Ste A, Hot Springs, Arkansas |
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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: 1558809475
- Provider Enumeration Date: 02/11/2017
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446535959
- Enrollment ID: I20170324001271
Medical Identifiers
Medical identifiers for Brock Harrison Wrinkles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558809475 | NPI | - | NPPES |
1139067 | Other | | NCCPA |
PA-720 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PT2017-010 (Arkansas) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | PA-720 (Arkansas) | 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. Brock Harrison Wrinkles 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 Harrison Wrinkles, PA 6 Trent Jones Cv, Sherwood, AR 72120-4611 Ph: (501) 599-8400 | Brock Harrison Wrinkles, PA 1801 Central Ave Ste A, Hot Springs, AR 71901-6800 Ph: (501) 623-5598 |
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