Mr Theodore Craig Brock, APN-BC in Geneva, IL

Mr Theodore Craig Brock, APN-BC is a medicare enrolled "Nurse Practitioner" in Geneva, Illinois. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 304 Randall Rd, Geneva, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 232-0610.

Mr Theodore Craig Brock is licensed to practice in Illinois (license number 209010570) 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 1386070480.

Contact Information

	Mr Theodore Craig Brock, APN-BC
	304 Randall Rd, Geneva, IL 60134
	(630) 232-0610
	(630) 232-0675

Map and Direction

Provider's Profile

Full Name	Mr Theodore Craig Brock
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	304 Randall Rd, Geneva, Illinois
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:

Mr Theodore Craig Brock graduated from nursing school in 2012

NPI Data:

NPI Number: 1386070480
Provider Enumeration Date: 09/20/2013
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7012145717
Enrollment ID: I20131231001421

Medical Identifiers

Medical identifiers for Mr Theodore Craig Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386070480	NPI	-	NPPES
041303225	Other	IL	MEDICAID
CA4748	Other	IL	MEDICARE RAILROAD (GROUP)
P01349683	Other	IL	MEDICARE RAILROAD (INDIVIDUAL)
206147	Other	IL	MEDICARE PTAN (GROUP)
F400112507	Other	IL	MEDICARE PTAN (INDIVIDUAL)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209010570 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209010570 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delnor Community Hospital	Geneva, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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. Mr Theodore Craig Brock allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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 Theodore Craig 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
Mr Theodore Craig Brock, APN-BC 304 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 232-0610	Mr Theodore Craig Brock, APN-BC 304 Randall Rd, Geneva, IL 60134 Ph: (630) 232-0610

Reviews and Comments

Nurse Practitioner Nurses in Geneva, IL

Mrs. Karen Joyce Fahey, MSN,APN,ANP-BC,CORLN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400
Joelle Marie Tolentino, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr Ste 401, Geneva, IL 60134 Phone: 630-933-4056 Fax: 630-933-4056
Shari Anne Schrader, APRNBC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Wound Center, Geneva, IL 60134 Phone: 630-208-4460 Fax: 630-208-4338
Mrs. Rosemary Joan Sobota, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 302 Randall Rd Ste 105, Geneva, IL 60134 Phone: 630-232-0202 Fax: 630-232-9784
Mrs. Kelly Kooken Mccurtain, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2800 Keslinger Rd Ste 160, Geneva, IL 60134 Phone: 630-232-7200 Fax: 630-232-2288
Mrs. Carmen Hampson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Delnor Dr, Suite 300, Geneva, IL 60134 Phone: 630-262-1001 Fax: 630-262-8065
Sheri Kristine Steele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Randall Rd, Geneva, IL 60134 Phone: 630-938-2200 Fax: 630-938-2205

Mr Theodore Craig Brock, APN-BC - Medicare Nurse Practitioner in Geneva, IL