PAUL MICHAEL BROCK III PA-C - NPI 1376318543 - Physician Assistant in Wilmington, DE

Q: What is Paul Brock's NPI number?

The NPI number for Paul Brock is 1376318543. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Q: What is Paul Brock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Brock was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Paul Michael Brock Iii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL MICHAEL BROCK III PA-C (NPI 1376318543) is an individual physician assistant in Wilmington, Delaware, licensed in Delaware (C5-0012004) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376318543

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePAUL MICHAEL BROCK IIICredential: PA-C

Location Address908 E 16TH ST STE BWilmington, DE 19802-5145

Mailing Address2007 Fairmount Ave Apt 14Philadelphia, PA 19130-2631 · (240) 418-1334

Phone(302) 575-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 17, 2023

NPPES CertifiedNovember 17, 2023

✔ NPI 1376318543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in DE · C5-0012004

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C5-0012004 (DE)

908 E 16TH ST STE B, Wilmington, DE 19802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Michael Brock Iii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860841970

PECOS Enrollment IDI20231214003263

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA SEALS

Counselor (Mental Health)