Miss Susan Michelle Brock is a Independence, Ohio based nurse practitioner with 11 years of experience in . She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Susan Michelle Brock is 22668 for Adult Health in Tennessee. Her current practice location is Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence. Patients can reach her at 800-897-9177. Miss Susan Michelle Brock is NP and her NPI number (Unique professional ID assigned by NPPES) is 1730500430. Miss Susan Michelle Brock has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Miss Susan Michelle Brock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Miss Susan Michelle Brock
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, Ohio, 44131
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2860622446
Enrollment ID:
I20140226002084
NPI Number:
1730500430
NPI Enumeration Date:
23 Dec, 2013
NPI Last Update On:
16 Dec, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Susan Michelle Brock are as mentioned below.
License Number
Specialization
State
Status
22668
Adult Health
Tennessee
Primary
3011567
Nurse Practitioner
Kentucky
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Miss Susan Michelle Brock is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare (7416170501)
11
Life Line Community Healthcare California (8729209119)
4
Life Line Community Healthcare (7416170501)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Susan Michelle Brock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000855421
Other
Indiana
ANTHEM
201209630
Medicaid
Indiana
0099280
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Miss Susan Michelle Brock 1925 Ashland City Rd, Apt 207 Clarksville, Tennessee
Zip:
37043-5296
Phone Number:
931-801-0502
Patients can reach Miss Susan Michelle Brock at Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, Ohio or can call to book an appointment on 800-897-9177.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.