Pratima Chandrica-brock, CRNA - Medicare Nurse Anesthetist, Certified Registered in Johnson City, NY

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Pratima Chandrica-brock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, New York. Her current practice location is 156 Corliss Ave, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6735.

Pratima Chandrica-brock is licensed to practice in New York (license number 678912-01) 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 1811673064.

Contact Information

Pratima Chandrica-brock, CRNA
156 Corliss Ave,
Johnson City, NY 13790-2060
(607) 763-6735
Not Available

Map and Direction




Provider's Profile

Full NamePratima Chandrica-brock
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location156 Corliss Ave, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811673064
  • Provider Enumeration Date: 06/23/2023
  • Last Update Date: 06/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113380650
  • Enrollment ID: I20230830003479

Medical Identifiers

Medical identifiers for Pratima Chandrica-brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811673064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 678912-01 (New York)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. Pratima Chandrica-brock allows following entities to bill medicare on her behalf.
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017

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. Pratima Chandrica-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 AddressPractice Location Address
Pratima Chandrica-brock, CRNA
12 Manchester Blvd,
Owego, NY 13827-1250

Ph: (607) 972-7866		Pratima Chandrica-brock, CRNA
156 Corliss Ave,
Johnson City, NY 13790-2060

Ph: (607) 763-6735

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Johnson City, NY

Jacqueline M Havriliak, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790
Phone: 607-763-6735    
Todd M Kubesh, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 57 N Harrison St, Johnson City, NY 13790
Phone: 607-763-6000    
Ms. Ling-ling Shih, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736
Louise Parks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave Ste 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736
James Marra, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790
Phone: 607-763-6735    
Ryan T Pickett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 57 N Harrison St, Johnson City, NY 13790
Phone: 607-763-6000    
Adam Scotchlas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave Apt 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.