Dr Mark James Broomhead, DDS - Medicare Dentist in South Holland, IL

Dr Mark James Broomhead, DDS is a medicare enrolled "Dentist - General Practice" provider in South Holland, Illinois. His current practice location is 615 E 162nd St, South Holland, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 817-5500.

Dr Mark James Broomhead is licensed to practice in Illinois (license number 019026740) 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 1831531706.

Contact Information

Dr Mark James Broomhead, DDS
615 E 162nd St,
South Holland, IL 60473-2329
(773) 817-5500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark James Broomhead
GenderMale
SpecialityDentist - General Practice
Location615 E 162nd St, South Holland, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831531706
  • Provider Enumeration Date: 07/22/2013
  • Last Update Date: 07/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002127289
  • Enrollment ID: I20150615000677

Medical Identifiers

Medical identifiers for Dr Mark James Broomhead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831531706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019026740 (Illinois)Primary

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 Mark James Broomhead 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
Dr Mark James Broomhead, DDS
615 E 162nd St,
South Holland, IL 60473-2329

Ph: (773) 817-5500
Dr Mark James Broomhead, DDS
615 E 162nd St,
South Holland, IL 60473-2329

Ph: (773) 817-5500

Reviews and Comments


Dentist in South Holland, IL

Dionne Nicole Henderson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 605 E 170th St, South Holland, IL 60473
Phone: 708-893-0368    Fax: 708-893-0456
Dr. Patrick Michael Gorman, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 615 E 162nd St, South Holland, IL 60473
Phone: 708-331-1900    Fax: 708-331-1248
Shafaq Raafat Mustafa, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 16111 La Salle St, South Holland, IL 60473
Phone: 708-339-9999    Fax: 708-339-0009
Dr. Shelley A Young, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 430 E 162nd St, Suite # 550, South Holland, IL 60473
Phone: 773-415-6981    Fax: 708-474-6229
Lucille Marie Lugowski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 64 W 162nd St, South Holland, IL 60473
Phone: 708-225-2490    
Dr. Rajiv Khurana, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 16270 Prince Dr, South Holland, IL 60473
Phone: 708-333-2213    
Dr. Walter Berge Busse, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 536 E 162nd Street, South Holland, IL 60473
Phone: 708-331-2322    Fax: 708-596-3128

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.