Dr Stafford R Broumand, MD is a medicare enrolled "Plastic Surgery" physician in New York City, New York. His current practice location is
75 East 71street, New York City, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 879-7900.
Dr Stafford R Broumand is licensed to practice in New York (license number 166718-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548313828.
Physician's Profile
| Full Name | Dr Stafford R Broumand |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 75 East 71street, New York City, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548313828
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 11/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 2466627732
- Enrollment ID: I20111215000005
Medical Identifiers
Medical identifiers for Dr Stafford R Broumand such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548313828 | NPI | - | NPPES |
| 0100923 | Other | NY | GHI |
| N37868 | Other | NY | HEALTHNET |
| P3806444 | Other | NY | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 166718-1 (New York) | Primary |
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 Stafford R Broumand allows following entities to bill medicare on his behalf.
| Entity Name | Srb Plastic Surgery Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962612507
PECOS PAC ID: 1557536828
Enrollment ID: O20111215000003 |
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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 Stafford R Broumand 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 Stafford R Broumand, MD
75 East 71street,
New York City, NY 10021
Ph: (212) 879-7900 | Dr Stafford R Broumand, MD
75 East 71street,
New York City, NY 10021
Ph: (212) 879-7900 |
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