Mrs Virginia Annette Brock, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Parksley, Virginia. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastern Shore Community Mh Mr Sas Services Board and her current practice location is
19056 Greenbush Rd, Parksley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 655-1260.
Mrs Virginia Annette Brock is licensed to practice in Georgia (license number RN114139) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548625114.
Provider's Profile
| Full Name | Mrs Virginia Annette Brock |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 19056 Greenbush Rd, Parksley, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Virginia Annette Brock graduated from nursing school in 2013
NPI Data:
- NPI Number: 1548625114
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597018333
- Enrollment ID: I20210913002662
Medical Identifiers
Medical identifiers for Mrs Virginia Annette Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548625114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN114139 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eastern Shore Community Mh Mr Sas Services Board | 8729185095 | 9 |
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 Virginia Annette Brock allows following entities to bill medicare on her behalf.
| Entity Name | Eastern Shore Community Mh Mr Sas Services Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154411510
PECOS PAC ID: 8729185095
Enrollment ID: O20070521000579 |
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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 Virginia Annette 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 |
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Mrs Virginia Annette Brock, PMHNP
23208 Lilliston Ave,
Accomac, VA 23301
Ph: (770) 378-0795 | Mrs Virginia Annette Brock, PMHNP
19056 Greenbush Rd,
Parksley, VA 23421
Ph: (757) 655-1260 |
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