Samantha Ann Broghammer, RD is a
Dietitian, Registered based in Brown Deer, Wisconsin. Samantha Ann Broghammer is licensed to practice in Wisconsin (license number 86095627) and her current practice location is
4600 W Schroeder Dr, Brown Deer, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 865-2500.
NPI number for Samantha Ann Broghammer is 1497365720 and her current mailing address is 344a N 68th St, Wauwatosa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497365720.
Healthcare Provider's Profile
Full Name | Samantha Ann Broghammer |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4600 W Schroeder Dr, Brown Deer, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497365720
- Provider Enumeration Date: 08/02/2020
- Last Update Date: 08/02/2020
Medical Identifiers
Medical identifiers for Samantha Ann Broghammer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497365720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86095627 (Wisconsin) | 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. Samantha Ann Broghammer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Ann Broghammer, RD 344a N 68th St, Wauwatosa, WI 53213-3931 Ph: (920) 946-2855 | Samantha Ann Broghammer, RD 4600 W Schroeder Dr, Brown Deer, WI 53223-6458 Ph: (414) 865-2500 |
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