Dr Gregory Broderick-villa, MD in Oakland, CA

Dr Gregory Broderick-villa, MD is a medicare enrolled "Surgery" physician in Oakland, California. He went to Tufts University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 365 Hawthorne Ave, 101, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 465-5523.

Dr Gregory Broderick-villa is licensed to practice in California (license number A82944) 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 1376571562.

Contact Information

	Dr Gregory Broderick-villa, MD
	365 Hawthorne Ave, 101, Oakland, CA 94609-3107
	(510) 465-5523
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gregory Broderick-villa
Gender	Male
Speciality	General Surgery
Experience	24 Years
Location	365 Hawthorne Ave, Oakland, California
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:

Dr Gregory Broderick-villa attended and graduated from Tufts University School Of Medicine in 2001

NPI Data:

NPI Number: 1376571562
Provider Enumeration Date: 06/28/2006
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2668475229
Enrollment ID: I20060821000328

Medical Identifiers

Medical identifiers for Dr Gregory Broderick-villa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376571562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A82944 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Walnut Creek	Walnut creek, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Dr Gregory Broderick-villa allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Dr Gregory Broderick-villa 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
Dr Gregory Broderick-villa, MD 2345 Country Hills Dr, Antioch, CA 94509-7319 Ph: (925) 418-0278	Dr Gregory Broderick-villa, MD 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 Ph: (510) 465-5523

Reviews and Comments

Surgery Doctors in Oakland, CA

Dr. Cheryl Lin Park, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4743
Dr. Rachel Gomez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Department Of Surgery, Oakland, CA 94602 Phone: 510-437-4965 Fax: 510-437-5127
Veronica C. Shim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Beverly L. Bolinger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Dr. Elizabeth L. Cureton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-437-5127
Ajay Kumar Upadhyay, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 365 Hawthorne Ave, Ste 101, Oakland, CA 94609 Phone: 510-465-5523 Fax: 510-832-6061
Steven T Yedlin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3100 Telegraph Ave, 2nd Floor Bayside Medical Group, Oakland, CA 94609 Phone: 510-452-5231 Fax: 510-889-8392

Dr Gregory Broderick-villa, MD - Medicare General Surgery in Oakland, CA