Andrew D Broadmoore, MD | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Andrew D Broadmoore |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 21 Years |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508828633 | NPI | - | NPPES |
0495960 | Medicaid | IA | |
18118 | Other | IA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 46673 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Essentia Health Duluth | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Andrew D Broadmoore, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Andrew D Broadmoore, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Steven Egan Baker, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 Fax: 218-786-3513 | |
Dr. Colt Jeffrey Edin, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Matthew Charles Eidenschink, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Erin Kathleen Rust, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joshua Garret Farley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-723-1112 | |
Dr. Gulnara David Aliyeva, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |