Broadway Medical Clinic in El Cajon, CA - Medicare Internal Medicine

Broadway Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in El Cajon, California. The current practice location for Broadway Medical Clinic is 1351 Broadway, El Cajon, California. For appointments, you can reach them via phone at (619) 383-6703. The mailing address for Broadway Medical Clinic is 1351 Broadway, El Cajon, California and phone number is (619) 383-6703.

Broadway Medical Clinic is licensed to practice in California (license number A116611). The clinic also participates in the medicare program and its NPI number is 1275936270. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 383-6703.

Contact Information

	Broadway Medical Clinic
	1351 Broadway El Cajon CA 92021-5811
	(619) 383-6703
	(866) 473-3324

Map and Direction

Primary Care Clinic Profile

Full Name	Broadway Medical Clinic
Speciality	Internal Medicine
Location	1351 Broadway, El Cajon, California
Authorized Official Name and Position	Jimi Ola Benson (PRESIDENT)
Authorized Official Contact	3014661078
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Broadway Medical Clinic 1351 Broadway El Cajon CA 92021-5811 Ph: (619) 383-6703	Broadway Medical Clinic 1351 Broadway El Cajon CA 92021-5811 Ph: (619) 383-6703

NPI Details:

NPI Number	1275936270
Provider Enumeration Date	10/03/2014
Last Update Date	02/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	3173845005
Medicare Enrollment ID	O20141204001162

Medical Identifiers

Medical identifiers for Broadway Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275936270	NPI	-	NPPES
1477751667	Medicaid	CA
1275936270	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A116611 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Broadway Medical Clinic acts as a billing entity for following providers:

Provider Name	Jimi O Benson
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1477751667 PECOS PAC ID: 7315111408 Enrollment ID: I20111130000256

Reviews and Comments

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Broadway Medical Clinic - Medicare Primary Care in El Cajon, CA