Dr Stephen Brockbank, OD in Salt Lake City, UT - Medicare Optometrist Provider

Dr Stephen Brockbank, OD is a medicare enrolled "Optometrist" provider in Salt Lake City, Utah. His current practice location is 222 S Main St, Suite 110, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 456-2020.

Dr Stephen Brockbank is licensed to practice in Utah (license number 5601485-9934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508973397.

Contact Information

	Dr Stephen Brockbank, OD
	222 S Main St, Suite 110, Salt Lake City, UT 84101-2174
	(801) 456-2020
	(801) 456-2021

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephen Brockbank
Gender	Male
Speciality	Optometrist
Location	222 S Main St, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508973397
Provider Enumeration Date: 08/25/2006
Last Update Date: 06/04/2013

Medicare PECOS Information:

PECOS PAC ID: 0648248526
Enrollment ID: I20040919000015

Medical Identifiers

Medical identifiers for Dr Stephen Brockbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508973397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5601485-9934 (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. Dr Stephen Brockbank allows following entities to bill medicare on his behalf.

Provider Name	Olympus Eye Associates, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912202425 PECOS PAC ID: 9739360181 Enrollment ID: O20110218000309

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. Dr Stephen Brockbank 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
Dr Stephen Brockbank, OD 2847 N 1050 E, Lehi, UT 84043-4033 Ph: (801) 456-2020	Dr Stephen Brockbank, OD 222 S Main St, Suite 110, Salt Lake City, UT 84101-2174 Ph: (801) 456-2020

Reviews and Comments

Optometrist in Salt Lake City, UT

Dr. Michael D Conklin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 Fax: 801-484-8664
Sean Patrick Cushman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 E 3900 S, Salt Lake City, UT 84107 Phone: 801-266-2283 Fax: 801-268-6151
Cori Marie Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Foothill Dr, Salt Lake City, UT 84148 Phone: 316-633-2244
Harlin Optometry, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662
Terry M Hansen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2828 W 4700 S, Suite D, Salt Lake City, UT 84118 Phone: 801-966-6201 Fax: 801-966-6609
Mrs. Karri A Buresh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 E 300 S, Berner Eye Clinic, Salt Lake City, UT 84111 Phone: 801-322-0467 Fax: 801-363-6053
Utah Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 S 1000 E Ste 330, Salt Lake City, UT 84102 Phone: 267-736-6335

Dr Stephen Brockbank, OD - Medicare Optometrist in Salt Lake City, UT