Dr Roger D Brockbank, MD - Medicare Family Practice in Pleasant Grove, UT

Dr Roger D Brockbank, MD is a medicare enrolled "Family Medicine" physician in Pleasant Grove, Utah. He went to George Washington University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Family Medical and his current practice location is 830 N 2000 W, Pleasant Grove, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 756-3511.

Dr Roger D Brockbank is licensed to practice in Utah (license number 4778712-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669463626.

Contact Information

Dr Roger D Brockbank, MD
830 N 2000 W,
Pleasant Grove, UT 84062-4047
(801) 756-3511
(801) 443-1164



Physician's Profile

Full NameDr Roger D Brockbank
GenderMale
SpecialityFamily Practice
Experience26 Years
Location830 N 2000 W, Pleasant Grove, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Roger D Brockbank attended and graduated from George Washington University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1669463626
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 05/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8224184759
  • Enrollment ID: I20090924000089

Medical Identifiers

Medical identifiers for Dr Roger D Brockbank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669463626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4778712-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Timpanogos Regional HospitalOrem, UTHospital
American Fork HospitalAmerican fork, UTHospital
Orem Community HospitalOrem, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Family Medical741619778571

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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 Roger D Brockbank allows following entities to bill medicare on his behalf.
Entity NamePremier Family Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750725735
PECOS PAC ID: 7416197785
Enrollment ID: O20130710000079

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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. Dr Roger D 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 AddressPractice Location Address
Dr Roger D Brockbank, MD
275 W 200 N,
Lindon, UT 84042-5009

Ph: (801) 796-1333
Dr Roger D Brockbank, MD
830 N 2000 W,
Pleasant Grove, UT 84062-4047

Ph: (801) 756-3511

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Emergent BioSolutions Inc. today announced that it has received a multi-year grant from the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, to advance the development of MVA85A, a candidate vaccine against tuberculosis.

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Family Medicine Doctors in Pleasant Grove, UT

Dr. Jill Bergeson Barkdull, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062
Phone: 801-756-1705    Fax: 801-443-1164
Marshall F Willis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062
Phone: 801-756-3511    Fax: 801-756-1705
Dr. Sean Cameron Doyle, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062
Phone: 801-756-3511    Fax: 801-443-1164
Dr. Brannick Barton Riggs, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062
Phone: 385-440-1400    Fax: 801-845-9965
Scott L Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062
Phone: 801-756-3511    Fax: 801-443-1164
Elwood J Corry Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062
Phone: 801-756-3511    Fax: 801-443-1164

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