Haley Brock, is a medicare enrolled "Occupational Therapist" provider in West Haven, Utah. Her current practice location is
2639 W 3520 S, West Haven, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 732-5290.
Haley Brock is licensed to practice in Utah (license number 13708203-4201) 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 1508623323.
Healthcare Provider's Profile
| Full Name | Haley Brock |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 2639 W 3520 S, West Haven, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508623323
- Provider Enumeration Date: 02/28/2024
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204272024
- Enrollment ID: I20240314002052
Medical Identifiers
Medical identifiers for Haley Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508623323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 13708203-4201 (Utah) | 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. Haley Brock allows following entities to bill medicare on her behalf.
| Provider Name | Orthopaedic And Neurological Rehabilitation, Speech Pathology, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20200930001509 |
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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. Haley 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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Haley Brock,
66 E Dorchester Dr,
Salt Lake City, UT 84103-2203
Ph: (801) 884-9569 | Haley Brock,
2639 W 3520 S,
West Haven, UT 84401-8529
Ph: (801) 732-5290 |
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