| Dr Charlene Bell Broome, MD | |
|
6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 | |
| (601) 261-1800 | |
| (601) 261-1801 |
| Full Name | Dr Charlene Bell Broome |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 37 Years |
| Location | 6414 U S Highway 98, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720007040 | NPI | - | NPPES |
| 0119222 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 12482 (Mississippi) | Secondary |
| 207K00000X | Allergy & Immunology | 12482 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charlene Bell Broome, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-1800 | Dr Charlene Bell Broome, MD 6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 Ph: (601) 261-1800 |
Marlee Wadsworth, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402 Phone: 601-261-1800 Fax: 601-261-1801 | |
Taylor Joseph Mabry, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5210 | |
Blake Olmsted, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402 Phone: 601-261-1800 Fax: 601-261-1801 |