| Dr Jeffery Wayne Van Den Broek, DO | |
|
10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 | |
| (410) 992-9797 | |
| (410) 730-0942 |
| Full Name | Dr Jeffery Wayne Van Den Broek |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 25 Years |
| Location | 10710 Charter Dr, Columbia, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033180187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | DOS-945 (Hawaii) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | H0075616 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand River Hospital District | Rifle, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand River Hospital District | 7113837469 | 71 |
| Grand River Hospital District | 7113837469 | 71 |
| Entity Name | Frederick Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
| Entity Name | Digestive Disease Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407400955 PECOS PAC ID: 1951734078 Enrollment ID: O20191204000393 |
| Entity Name | Chesapeake Digestive Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023765625 PECOS PAC ID: 5597151357 Enrollment ID: O20220404000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffery Wayne Van Den Broek, DO 10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 Ph: (410) 992-9797 | Dr Jeffery Wayne Van Den Broek, DO 10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 Ph: (410) 992-9797 |
Dr. Jon Kent Minford, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Dr. Jacob Cherian, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578 | |
Dr. Tejaswi Rajasekhara Sastry, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Michael Howard Kelemen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303 | |
Dr. Joseph F Gibbons, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6250 Old Dobbin Ln, Columbia, MD 21045 Phone: 410-730-3399 Fax: 443-478-4737 | |
Dr. Tin O Maung, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd Ste W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274 |