Gina Brock, DO in Savannah, GA - Medicare Student in an Organized Health Care Education/Training Program

Gina Brock, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Savannah, Georgia. Her current practice location is 4700 Waters Ave, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 350-8715.

Gina Brock is licensed to practice in * (Not Available) (license number ) 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 1154374668.

Contact Information

	Gina Brock, DO
	4700 Waters Ave, Savannah, GA 31404-6220
	(912) 350-8715
	Not Available

Physician's Profile

Full Name	Gina Brock
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	4700 Waters Ave, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154374668
Provider Enumeration Date: 05/18/2006
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4284695859
Enrollment ID: I20220912002215

Medical Identifiers

Medical identifiers for Gina Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154374668	NPI	-	NPPES
P00164456	Other	FL	RAILROAD MEDICARE - FLAGL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	PA9102907 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Gina 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
Gina Brock, DO 1107 E 66th St, Savannah, GA 31404-5701 Ph: (912) 350-8837	Gina Brock, DO 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-8715

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Gina Brock, DO - Medicare Student in an Organized Health Care Education/Training Program in Savannah, GA