Individual ProviderNadine BrockNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1675 S Main St, London, KY 40741-2050(606) 330-1717PECOS EnrollmentBased on the most recent information from CMS, provider Nadine Brock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1285800938Provider TypeIndividualFull NameBrock, NadineCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date5/2/2008Last Updated4/23/2015Contact InformationPractice LocationPractice Address1675 S Main St, London, KY 40741-2050Phone(606) 330-1717Fax(606) 330-0061Mailing LocationMailing Address1675 S Main St, London, KY 40741-2050Phone(606) 330-1717Fax(606) 330-0061Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5556PKentucky