| Dr Michael Francis Broderick, DO | |
|
2901 4th St, Longview, TX 75605-5128 | |
| (903) 758-1818 | |
| Not Available |
| Full Name | Dr Michael Francis Broderick |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 2901 4th St, Longview, Texas |
| 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 |
|---|---|---|---|
| 1033778758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | V2612 (Texas) | Secondary |
| 208M00000X | Hospitalist | V2612 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longview Regional Medical Center | Longview, TX | Hospital |
| East Texas Medical Center - Carthage | Carthage, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Clinicians Of East Texas | 4789957440 | 102 |
| Entity Name | Associated Clinicians Of East Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Francis Broderick, DO 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: () - | Dr Michael Francis Broderick, DO 2901 4th St, Longview, TX 75605-5128 Ph: (903) 758-1818 |
Venkata Sandeep Koripalli, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-3588 | |
Harold R Taylor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675 | |
Dr. Sathiraju Undavalli, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Ezza Tariq, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Chinwe Okafor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Kwame Boakye Agyeman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 | |
Dr. Tejo Ramam Challa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 |