Theresa Broderick, MD in Hampton, VA

Theresa Broderick, MD is a medicare enrolled "Pediatrics" physician in Hampton, Virginia. Her current practice location is 23 Manhattan Sq, Hampton, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 224-1600.

Theresa Broderick is licensed to practice in Virginia (license number 0101247997) 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 1568672459.

Contact Information

	Theresa Broderick, MD
	23 Manhattan Sq, Hampton, VA 23666-5843
	(757) 224-1600
	(757) 825-1316

Map and Direction

Physician's Profile

Full Name	Theresa Broderick
Gender	Female
Speciality	Pediatrics
Location	23 Manhattan Sq, Hampton, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568672459
Provider Enumeration Date: 05/22/2007
Last Update Date: 05/13/2019

Medicare PECOS Information:

PECOS PAC ID: 7517332182
Enrollment ID: I20230412003112

Medical Identifiers

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

Identifier	Type	State	Issuer
1568672459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101247997 (Virginia)	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. Theresa Broderick allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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. Theresa 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
Theresa Broderick, MD 23 Manhattan Sq, Hampton, VA 23666-5843 Ph: (757) 224-1600	Theresa Broderick, MD 23 Manhattan Sq, Hampton, VA 23666-5843 Ph: (757) 224-1600

Reviews and Comments

Pediatrics Doctors in Hampton, VA

Amber Mccusker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23 Manhattan Square, Hampton, VA 23666 Phone: 757-595-0358 Fax: 757-595-6745
Dr. Elizabeth Fernandez Gantan, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-764-8500
Dr. Kelly Nicole Lujan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6611
Dr. Vickie Cortessa Motley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Executive Dr, Ste. D, Hampton, VA 23666 Phone: 757-826-6889
Imani Rene Eichelberger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Manhattan Sq, Hampton, VA 23666 Phone: 757-668-2200 Fax: 757-668-2222
Javedan Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Coliseum Dr Ste 320, Hampton, VA 23666 Phone: 757-827-2350
Elizabeth Broderick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23 Manhattan Square, Hampton, VA 23666 Phone: 757-595-0358 Fax: 757-595-6745

Theresa Broderick, MD - Medicare Pediatrics in Hampton, VA