Grace Chang Broderick, MD in Tustin, CA - Medicare Internal Medicine

Grace Chang Broderick, MD is a medicare enrolled "Internal Medicine" physician in Tustin, California. Her current practice location is 2521 Michelle Dr, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (888) 988-2800.

Grace Chang Broderick is licensed to practice in California (license number 135716) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548525264.

Contact Information

	Grace Chang Broderick, MD
	2521 Michelle Dr, Tustin, CA 92780-7014
	(888) 988-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace Chang Broderick
Gender	Female
Speciality	Internal Medicine
Location	2521 Michelle Dr, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548525264
Provider Enumeration Date: 07/09/2012
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0749590347
Enrollment ID: I20151111001666

Medical Identifiers

Medical identifiers for Grace Chang Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548525264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	135716 (California)	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. Grace Chang Broderick allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Grace Chang Broderick 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
Grace Chang Broderick, MD 2521 Michelle Dr, Tustin, CA 92780-7014 Ph: () -	Grace Chang Broderick, MD 2521 Michelle Dr, Tustin, CA 92780-7014 Ph: (888) 988-2800

Reviews and Comments

Internal Medicine Doctors in Tustin, CA

Dr. Huong T Duong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Dr. Susan L Ban, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Jeremy Lam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080
Dr. Thomas C Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Dr. Pin-hung Hsieh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13522 Newport Ave Ste 102, Tustin, CA 92780 Phone: 714-573-8200 Fax: 714-573-9401
Madonna A Nicolai, CFNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14351 Myford Rd, Suite B, Tustin, CA 92780 Phone: 714-550-9990 Fax: 714-550-1226
Stela Georgieva Kostova-abadjieva, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891

Grace Chang Broderick, MD - Medicare Internal Medicine in Tustin, CA