Katy Jean Srock, CNP - Medicare Nurse Practitioner in Brainerd, MN

Katy Jean Srock, CNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Brainerd, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Pines Mental Health Center Inc and her current practice location is 520 Nw 5th St, Brainerd, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 829-3235.

Katy Jean Srock is licensed to practice in Minnesota (license number R 210000-5) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790138550.

Contact Information

Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902
(218) 829-3235
Not Available



Provider's Profile

Full NameKaty Jean Srock
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location520 Nw 5th St, Brainerd, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katy Jean Srock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1790138550
  • Provider Enumeration Date: 07/18/2016
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7113214172
  • Enrollment ID: I20160920001124

Medical Identifiers

Medical identifiers for Katy Jean Srock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790138550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health R 210000-5 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Pines Mental Health Center Inc86289796976

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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. Katy Jean Srock allows following entities to bill medicare on her behalf.
Entity NameNorthern Pines Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013904051
PECOS PAC ID: 8628979697
Enrollment ID: O20040114000463

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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. Katy Jean Srock 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
Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902

Ph: (218) 829-3235
Katy Jean Srock, CNP
520 Nw 5th St,
Brainerd, MN 56401-2902

Ph: (218) 829-3235

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Clinical Nurse Specialist Nurses in Brainerd, MN

Ms. Rosemary B Leonard, MA RN CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 520 Nw 5th St, Brainerd, MN 56401
Phone: 218-829-3235    
Nathan Aaron Kline,
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2024 S 6th St, Brainerd, MN 56401
Phone: 218-828-7100    Fax: 218-828-7107
Ms. Barbara J Risnes, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2024 S 6th St, Diabetes Resource Program, Brainerd, MN 56401
Phone: 218-828-7100    
Patricia Josephine Herron, APRN, BC, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 520 Nw 5th St, Brainerd, MN 56401
Phone: 218-829-3235    Fax: 218-829-1368

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