Sidney M Broder, MD is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Grand Blanc, Michigan. He graduated from medical school in 1982 and has 44 years of diverse experience with area of expertise as Neurology. His current practice location is
4605 Genesys Pkwy, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 606-9393.
Sidney M Broder is licensed to practice in Michigan (license number 48274) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851465025.
Physician's Profile
| Full Name | Sidney M Broder |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 44 Years |
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| Location | 4605 Genesys Pkwy, Grand Blanc, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sidney M Broder graduated from medical school in 1982
NPI Data:
- NPI Number: 1851465025
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254520620
- Enrollment ID: I20110117000165
Medical Identifiers
Medical identifiers for Sidney M Broder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851465025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 48274 (Michigan) | Primary |
Medical Facilities Affiliation
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. Sidney M Broder allows following entities to bill medicare on his behalf.
| Entity Name | Northland Radiology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 |
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| Entity Name | Lucia Zamorano MD PLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407811243 PECOS PAC ID: 3779516711 Enrollment ID: O20050912000492 |
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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. Sidney M Broder 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 |
Sidney M Broder, MD 1414 Lakeside Dr, Birmingham, MI 48009-1062 Ph: (248) 644-4223 | Sidney M Broder, MD 4605 Genesys Pkwy, Grand Blanc, MI 48439-8067 Ph: (810) 606-9393 |
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