Dr Jamie C Broekhuizen, DO in Fort Wayne, IN

Dr Jamie C Broekhuizen, DO is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Parkview Wabash Hospital Inc, Parkview Health System Inc and her current practice location is 3909 New Vision Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 469-6610.

Dr Jamie C Broekhuizen is licensed to practice in Indiana (license number 02004512A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033312442.

Contact Information

	Dr Jamie C Broekhuizen, DO
	3909 New Vision Dr, Fort Wayne, IN 46845-1725
	(260) 469-6610
	(260) 969-3065

Map and Direction

Physician's Profile

Full Name	Dr Jamie C Broekhuizen
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	3909 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jamie C Broekhuizen attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2006

NPI Data:

NPI Number: 1033312442
Provider Enumeration Date: 06/06/2007
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9436291754
Enrollment ID: I20141124002133

Medical Identifiers

Medical identifiers for Dr Jamie C Broekhuizen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033312442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036129571 (Illinois)	Secondary
207Q00000X	Family Medicine	5101016722 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	5101016722 (Michigan)	Secondary
207Q00000X	Family Medicine	02004512A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Parkview Huntington Hospital	Huntington, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Wabash Hospital Inc	0244553360	29
Parkview Health System Inc	2163336967	1167

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 Jamie C Broekhuizen allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Parkview Wabash Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891176590 PECOS PAC ID: 0244553360 Enrollment ID: O20181128002503

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 Jamie C Broekhuizen 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 Jamie C Broekhuizen, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Jamie C Broekhuizen, DO 3909 New Vision Dr, Fort Wayne, IN 46845-1725 Ph: (260) 469-6610

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

Dr Jamie C Broekhuizen, DO - Medicare Family Practice in Fort Wayne, IN