Dr Melissa Marie Broderick, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Methuen, Massachusetts. Her current practice location is
70 East St, Methuen, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 687-0156.
Dr Melissa Marie Broderick is licensed to practice in Massachusetts (license number PA4137) 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 1144392234.
Healthcare Provider's Profile
| 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. |
|---|
NPI Data:
- NPI Number: 1144392234
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 6800879958
- Enrollment ID: I20040609001372
Medical Identifiers
Medical identifiers for Dr Melissa Marie Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144392234 | NPI | - | NPPES |
| Y37019 | Other | MA | BCBS |
| 3456328 | Other | MA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2696 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | PA4137 (Massachusetts) | 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. Dr Melissa Marie Broderick allows following entities to bill medicare on her behalf.
| Provider Name | Greater Lowell Chiropractic & Rehabilitation Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1588759039
PECOS PAC ID: 6406008838
Enrollment ID: O20121212000181 |
|---|
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. Dr Melissa Marie 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 |
|---|
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 |
Reviews and Comments