OrganizationMichael E. Brock, D.O., P.S.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2920 Winchester Ave, Suite 1, Ashland, KY 41101-1962(606) 326-0640PECOS EnrollmentBased on the most recent information from CMS, provider Michael E. Brock, D.O., P.S.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1770782674Provider TypeOrganizationFull NameMichael E. Brock, D.O., P.S.C.SubpartNoEnumeration Date7/12/2007Last Updated4/15/2008Contact InformationPractice LocationPractice Address2920 Winchester Ave, Suite 1, Ashland, KY 41101-1962Phone(606) 326-0640Fax(606) 326-0650Mailing LocationMailing Address2920 Winchester Ave, Suite 1, Ashland, KY 41101-1962Phone(606) 326-0640Fax(606) 326-0650Authorized OfficialNameBrock, Michael Eugene (Owner)Phone(606) 326-0640Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID64081540DescriptionMedicaidIssuerUnlistedKentucky