Mr Brock Eric Ebbing, PA-C is a medicare enrolled "Physician Assistant" in Stone Ridge, Virginia. His current practice location is
42010 Village Center Plz Ste 100, Stone Ridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 542-7921.
Mr Brock Eric Ebbing is licensed to practice in Virginia (license number 0110006624) 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 1801459086.
Provider's Profile
Full Name | Mr Brock Eric Ebbing |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 42010 Village Center Plz Ste 100, Stone Ridge, 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: 1801459086
- Provider Enumeration Date: 04/15/2019
- Last Update Date: 04/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830432103
- Enrollment ID: I20190530001278
Medical Identifiers
Medical identifiers for Mr Brock Eric Ebbing such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801459086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0110006624 (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. Mr Brock Eric Ebbing 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 |
Mr Brock Eric Ebbing, PA-C 42010 Village Center Plz Ste 100, Stone Ridge, VA 20105-3036 Ph: (703) 542-7921 | Mr Brock Eric Ebbing, PA-C 42010 Village Center Plz Ste 100, Stone Ridge, VA 20105-3036 Ph: (703) 542-7921 |
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