Michael E Brock (NPI# 1639241102, PAC ID# 8426033648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639241102 |
| PAC ID by PECOS | 8426033648 |
| Professional Enrollment ID | I20040624001432 |
| Full Name | Michael E Brock |
| Organization Legal Name | THREE RIVERS MEDICAL CLINICS INC |
| Address |
2483 Hwy 644 102 Louisa KY 41230-9242 |
| Phone Number | 6066387488 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7315845047 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180128 | THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2483 Hwy 644, Louisa, KY 41230-9242 | THREE RIVERS MEDICAL CLINICS INC | |
| 2483 Hwy 644 102, Louisa, KY 41230-9242 | 6066387488 | THREE RIVERS MEDICAL CLINICS INC |
| 2483 Hwy 644 104, Louisa, KY 41230-9242 | 6066387288 | THREE RIVERS MEDICAL CLINICS INC |
| 2483 Hwy 644 107, Louisa, KY 41230-9242 | 6066381154 | THREE RIVERS MEDICAL CLINICS INC |
| 2483 Hwy 644 201, Louisa, KY 41230-9242 | 6066389404 | THREE RIVERS MEDICAL CLINICS INC |
| 2485 Hwy 644, Louisa, KY 41230-9242 | 6066381154 | THREE RIVERS MEDICAL CLINICS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 17% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | THREE RIVERS MEDICAL CLINICS INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy James Caudill | Nurse Practitioner | Three Rivers Medical Clinics Inc | 40 Professional Park Dr, Louisa, KY 41230-9644 |
| Kathy Rivera | Psychiatry | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Amanda L Maynard | Nurse Practitioner | Three Rivers Medical Clinics Inc | 94 Boardwalk St, Suite 1, Inez, KY 41224-7003 |
| Thomas H Frazier | Gastroenterology | Three Rivers Medical Clinics Inc | 2483 Hwy 644 107, Louisa, KY 41230-9242 |
| Elizabeth A Saul-collins | Nurse Practitioner | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Brandon H Webb | Internal Medicine | Three Rivers Medical Clinics Inc | 203 S Water St, Louisa, KY 41230-1347 |
| Kurt Jaenicke | Obstetrics/gynecology | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Rachel S Baisden | Nurse Practitioner | Three Rivers Medical Clinics Inc | 47460 Route 52, Kermit, WV 25674-8052 |
| Timothy R Yoost | Urology | Three Rivers Medical Clinics Inc | 2483 Hwy 644 107, Louisa, KY 41230-9242 |
| Sheila Short | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Street Address |
2483 HWY 644 102 |
| City | LOUISA |
| State | KY |
| Zip | 41230-9242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy Rivera | Psychiatry | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Sheila Short | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Bonnie Lynn Hill | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Aaron S Kendrick | Anesthesiology | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Tammy Webb | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Jennifer Michelle Johnson | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Thomas Stickler | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Lisa A Kise | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Saul-collins | Nurse Practitioner | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Marc Workman | Family Medicine | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Jill D Short | Physician Assistant | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Joseph Bowling | Optometry | Louisa Eye Care Pllc | 112 S Vinson Ave, Louisa, KY 41230-1155 |
| Elaine N Desario | Optometry | Louisa Eye Care Pllc | 112 S Vinson Ave, Louisa, KY 41230-1155 |
| Brandon H Webb | Internal Medicine | Three Rivers Medical Clinics Inc | 203 S Water St, Louisa, KY 41230-1347 |
| Kurt Jaenicke | Obstetrics/gynecology | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Karen Marlene Moore | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Justin Timothy Sargent | Physical Therapy | Ironton Physcial Therapy Inc | 172 Town Hill Rd, Louisa, KY 41230-6389 |
| Paul A Castle | Physical Therapy | Ironton Physical Therapy Inc | 172 Town Hill Rd, Louisa, KY 41230-6389 |
| Find all physicians in zip 41230 | |||
| City | LOUISA |
| Zip Code | 41230 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOUISA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael E Brock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.