| Matthew J Broghammer, DO | |
|
855 Mankato Ave, Winona, MN 55987-4868 | |
| (507) 454-3680 | |
| Not Available |
| Full Name | Matthew J Broghammer |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 855 Mankato Ave, Winona, Minnesota |
| 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 |
|---|---|---|---|
| 1124038773 | NPI | - | NPPES |
| 028891800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 45674 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winona Health Services | Winona, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winona Health Services | 8527977420 | 111 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | Winona Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Broghammer, DO 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3680 | Matthew J Broghammer, DO 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3680 |
Suzanne M Jelense, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 | |
Hans J Serleth, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 | |
John D Rowekamp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 |