Mrs Chasity Cowart Brock, NP-C in Bremen, GA - Medicare Nurse Practitioner

Mrs Chasity Cowart Brock, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Bremen, Georgia. Her current practice location is 222 Gordon St, Bremen, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 537-1234.

Mrs Chasity Cowart Brock is licensed to practice in Georgia (license number RN177270) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407291925.

Contact Information

	Mrs Chasity Cowart Brock, NP-C
	222 Gordon St, Bremen, GA 30110-1519
	(770) 537-1234
	(770) 537-1234

Map and Direction

Provider's Profile

Full Name	Mrs Chasity Cowart Brock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	222 Gordon St, Bremen, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407291925
Provider Enumeration Date: 05/10/2013
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 6901045269
Enrollment ID: I20130617000486

Medical Identifiers

Medical identifiers for Mrs Chasity Cowart Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407291925	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN177270 (Georgia)	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. Mrs Chasity Cowart Brock allows following entities to bill medicare on her behalf.

Entity Name	316 Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113

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. Mrs Chasity Cowart 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
Mrs Chasity Cowart Brock, NP-C 222 Gordon St, Bremen, GA 30110-1519 Ph: (770) 537-1234	Mrs Chasity Cowart Brock, NP-C 222 Gordon St, Bremen, GA 30110-1519 Ph: (770) 537-1234

Reviews and Comments

Nurse Practitioner Nurses in Bremen, GA

Lindsay Ballard Capps, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234 Fax: 770-537-1237
Stephanie Ann Melson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Creek View Rd, Bremen, GA 30110 Phone: 770-757-7399
Whitney Brannon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1236
Ashton Mcmanus Hughes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-823-4108
Ms. Carolyn Marie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 Gordon St, Bremen, GA 30110 Phone: 334-885-0754
Heidi Wilhelm Trehern, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234
Lori Pope, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Allen Memorial Dr Ste 201, Bremen, GA 30110 Phone: 770-537-6500 Fax: 770-824-2600

Mrs Chasity Cowart Brock, NP-C - Medicare Nurse Practitioner in Bremen, GA