Mr Nicholas Broccoli, DDS in Henrico, VA - Medicare Oral Surgery Provider

Mr Nicholas Broccoli, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Henrico, Virginia. He went to University Of Cincinnati College Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Commonwealth Oral And Facial Surgery Pc and his current practice location is 3811 Westerre Pkwy, Ste A, Henrico, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 354-1600.

Mr Nicholas Broccoli is licensed to practice in Virginia (license number 0401417373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235679432.

Contact Information

	Mr Nicholas Broccoli, DDS
	3811 Westerre Pkwy, Ste A, Henrico, VA 23233-1329
	(804) 354-1600
	(804) 354-1607

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Nicholas Broccoli
Gender	Male
Speciality	Oral Surgery
Experience	3 Years
Location	3811 Westerre Pkwy, Henrico, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Nicholas Broccoli attended and graduated from University Of Cincinnati College Of Medicine in 2021

NPI Data:

NPI Number: 1235679432
Provider Enumeration Date: 03/07/2017
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0840569950
Enrollment ID: I20210615003048

Medical Identifiers

Medical identifiers for Mr Nicholas Broccoli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235679432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	0401417373 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Oral And Facial Surgery Pc	0749282853	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Nicholas Broccoli allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Oral & Facial Surgery Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144274382 PECOS PAC ID: 0749282853 Enrollment ID: O20070202000069

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nicholas Broccoli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Nicholas Broccoli, DDS Po Box 71930, Richmond, VA 23255-1930 Ph: (804) 354-1600	Mr Nicholas Broccoli, DDS 3811 Westerre Pkwy, Ste A, Henrico, VA 23233-1329 Ph: (804) 354-1600

Reviews and Comments

Dentist in Henrico, VA

Dr. Catherine Doswell Born, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7240 Patterson Ave Ste 300, Henrico, VA 23229 Phone: 804-256-2808
Dr. Kanyon R. Keeney, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 130 Towne Center West Boulevard, Henrico, VA 23233 Phone: 804-270-5028 Fax: 804-747-3599
Dr. Roman T Haueis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3811 Westerre Pkwy, Suite C, Henrico, VA 23233 Phone: 804-747-0116 Fax: 804-747-6881
Dr. Holly Lewis, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11934 W Broad St Ste 120, Henrico, VA 23233 Phone: 804-746-7382 Fax: 804-746-3025
Dr. Thomas Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2020 John Rolfe Pkwy, Henrico, VA 23238 Phone: 804-741-4177
Christine O Ressler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12040 W. Broad Street, Henrico, VA 23233 Phone: 804-364-7010 Fax: 804-419-1059
Mrs. Madelyn Gay Morris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3107 Hungary Spring Rd, Henrico, VA 23228 Phone: 804-501-0501 Fax: 804-501-0509

Mr Nicholas Broccoli, DDS - Medicare Dentist in Henrico, VA