Thomas W Broderick, MD - Medicare Radiology in Boise, ID

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Thomas W Broderick, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. His current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2094.

Thomas W Broderick is licensed to practice in Idaho (license number M6258) 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 1407878853.

Contact Information

Thomas W Broderick, MD
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2094
Not Available

Map and Direction




Physician's Profile

Full NameThomas W Broderick
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407878853
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264336007
  • Enrollment ID: I20081119000570

Medical Identifiers

Medical identifiers for Thomas W Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407878853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M6258 (Idaho)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. Thomas W Broderick allows following entities to bill medicare on his behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558463927
PECOS PAC ID: 3577476761
Enrollment ID: O20040107000584
Entity NameUc San Diego Health Community Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659864247
PECOS PAC ID: 3971849175
Enrollment ID: O20190109000943

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. Thomas W 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 AddressPractice Location Address
Thomas W Broderick, MD
Po Box 9696,
Boise, ID 83707-4696

Ph: (208) 472-8118		Thomas W Broderick, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2094

Reviews and Comments


Radiology Doctors in Boise, ID

Dr. Micheal George Adondakis, MD
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Phone: 208-367-2121    Fax: 706-596-6720
Jeffrey T Seabourn, M.D.
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Caroline D Sobota, M.D.
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
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Mr. Jesse W Spinner, MD
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Phone: 208-367-2121    Fax: 706-596-6720
Dr. Anna Willis Hudson, MD
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-954-8070    Fax: 208-954-8073
Brian Lane Mcmahan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2094    Fax: 208-381-1791
Craig E Leymaster, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2094    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.