Mrs Angela C Brock, MEDCCC-SLP in Trinity, FL - Medicare Speech-Language Pathologist Provider

Mrs Angela C Brock, MEDCCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Trinity, Florida. Her current practice location is 10547 Peppergrass Ct, Trinity, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 222-3762.

Mrs Angela C Brock is licensed to practice in Florida (license number SA8713) 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 1174287775.

Contact Information

	Mrs Angela C Brock, MEDCCC-SLP
	10547 Peppergrass Ct, Trinity, FL 34655-5045
	(727) 222-3762
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela C Brock
Gender	Female
Speciality	Speech-language Pathologist
Location	10547 Peppergrass Ct, Trinity, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174287775
Provider Enumeration Date: 10/29/2021
Last Update Date: 10/31/2021

Medicare PECOS Information:

PECOS PAC ID: 6608265657
Enrollment ID: I20211111002490

Medical Identifiers

Medical identifiers for Mrs Angela C Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174287775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA8713 (Florida)	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. Mrs Angela C Brock allows following entities to bill medicare on her behalf.

Provider Name	Jd The Ot
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104490002 PECOS PAC ID: 5092119743 Enrollment ID: O20210803002773

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 Angela C 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
Mrs Angela C Brock, MEDCCC-SLP 5563 Summit View Dr, Brooksville, FL 34601 Ph: (912) 381-7391	Mrs Angela C Brock, MEDCCC-SLP 10547 Peppergrass Ct, Trinity, FL 34655-5045 Ph: (727) 222-3762

Reviews and Comments

Speech-Language Pathologist in Trinity, FL

Mrs. Tara Nicole Gosnik, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11863 Crestridge Loop, Trinity, FL 34655 Phone: 330-603-4714
Mr. Vishnu Hardasmal Sujanani, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10735 Northridge Ct, Trinity, FL 34655 Phone: 727-376-9180 Fax: 727-376-9180
Joleen Fernald, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2114 Seven Springs Blvd Ste 200, Trinity, FL 34655 Phone: 603-498-7825
Shannon M Mahoney, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2323 Little Rd, Trinity, FL 34655 Phone: 727-774-9200
Gosnik Speech Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11863 Crestridge Loop, Trinity, FL 34655 Phone: 330-603-4714
Casey Kylynn Stark, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7048 Columns Cir Apt 107, Trinity, FL 34655 Phone: 952-807-3558

Mrs Angela C Brock, MEDCCC-SLP - Medicare Speech-Language Pathologist in Trinity, FL