Mrs Anne Marie Brock, MA, CCC-SLP in Goshen, IN - Medicare Speech-Language Pathologist Provider

Mrs Anne Marie Brock, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Goshen, Indiana. Her current practice location is 282 Johnston St, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 501-5342.

Mrs Anne Marie Brock is licensed to practice in Indiana (license number 22004590A) 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 1689457442.

Contact Information

	Mrs Anne Marie Brock, MA, CCC-SLP
	282 Johnston St, Goshen, IN 46528-2558
	(574) 501-5342
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Anne Marie Brock
Gender	Female
Speciality	Speech-language Pathologist
Location	282 Johnston St, Goshen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689457442
Provider Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5193187219
Enrollment ID: I20230821003362

Medical Identifiers

Medical identifiers for Mrs Anne Marie Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689457442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22004590A (Indiana)	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 Anne Marie Brock allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264

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 Anne Marie 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 Anne Marie Brock, MA, CCC-SLP 930 4th Rd, Bremen, IN 46506-9078 Ph: (574) 274-5468	Mrs Anne Marie Brock, MA, CCC-SLP 282 Johnston St, Goshen, IN 46528-2558 Ph: (574) 501-5342

Reviews and Comments

Speech-Language Pathologist in Goshen, IN

Krystina Mckane, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 N Greene Rd, Goshen, IN 46526 Phone: 574-387-2665
Putt Pediatric Speech And Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 57657 Boulder Ct, Goshen, IN 46528 Phone: 574-849-0037 Fax: 574-807-9564
Natasha Marie Loop, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1721 Greencroft Blvd, Greencroft Retirement Center, Goshen, IN 46526 Phone: 574-831-6598
Alexandra R Liberi, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2012 S Main St Ste B, Goshen, IN 46526 Phone: 574-534-2025 Fax: 574-534-2042
Caitlin G Sears, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1640 Autumn Blaze Ln, Goshen, IN 46526 Phone: 317-653-5767
Mrs. Lori Christine Judson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 626 S 3rd St, Goshen, IN 46526 Phone: 574-534-9589

Mrs Anne Marie Brock, MA, CCC-SLP - Medicare Speech-Language Pathologist in Goshen, IN