Ms Anita Brock, PAC is a
Physician Assistant - Medical based in Accokeek, Maryland. Ms Anita Brock is licensed to practice in District Of Columbia (license number PA030636) and her current practice location is
207 Farmington Road West, Accokeek, Maryland. She can be reached at her office (for appointments etc.) via phone at
(571) 269-1509.
NPI number for Ms Anita Brock is 1902134828 and her current mailing address is 207 Farmington Road West, Accokeek, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902134828.
Provider's Profile
Full Name | Ms Anita Brock |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 207 Farmington Road West, Accokeek, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902134828
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 12/04/2009
Medical Identifiers
Medical identifiers for Ms Anita Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902134828 | NPI | - | NPPES |
PA030636 | Other | DC | PAC LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA030636 (District Of Columbia) | 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. Ms Anita Brock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Anita Brock, PAC 207 Farmington Road West, Accokeek, MD 20607 Ph: (571) 269-1509 | Ms Anita Brock, PAC 207 Farmington Road West, Accokeek, MD 20607 Ph: (571) 269-1509 |
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