| Dr Melissa Marie Broderick, DC, PA-C | |
|
70 East St, Methuen, MA 01844-4597 | |
| (978) 687-0156 | |
| (978) 687-9392 |
| Full Name | Dr Melissa Marie Broderick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 70 East St, Methuen, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144392234 | NPI | - | NPPES |
| Y37019 | Other | MA | BCBS |
| 3456328 | Other | MA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA4137 (Massachusetts) | Primary |
| 111N00000X | Chiropractor | 2696 (Massachusetts) | Secondary |
| Entity Name | Greater Lowell Chiropractic & Rehabilitation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588759039 PECOS PAC ID: 6406008838 Enrollment ID: O20121212000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Marie Broderick, DC, PA-C 70 East St, Methuen, MA 01844-4597 Ph: (978) 687-0156 | Dr Melissa Marie Broderick, DC, PA-C 70 East St, Methuen, MA 01844-4597 Ph: (978) 687-0156 |
Allysa Evelyn Chadderdon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Branch St Ste 100, Methuen, MA 01844 Phone: 978-620-2020 Fax: 978-620-2299 |
Kiely M Gamelin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 East St, Methuen, MA 01844 Phone: 978-989-9811 |
Ali Wu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0151 |
Claire Melley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 East St, Methuen, MA 01844 Phone: 860-371-8997 |
Dillon Duttera, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Branch St, Methuen, MA 01844 Phone: 978-620-2020 |
Adam Broughton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0151 |
Rima Zalaket, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0156 Fax: 978-688-0425 |