Brannon G Broadfoot, in Little Rock, AR

Brannon G Broadfoot, is a medicare enrolled "Pathology - Molecular Genetic Pathology" physician in Little Rock, Arkansas. His current practice location is 4301 W Markham St # 774, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 686-5170.

Brannon G Broadfoot is licensed to practice in Arkansas (license number E-15530) 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 1073045407.

Contact Information

	Brannon G Broadfoot,
	4301 W Markham St # 774, Little Rock, AR 72205-7101
	(501) 686-5170
	(501) 686-7155

Map and Direction

Physician's Profile

Full Name	Brannon G Broadfoot
Gender	Male
Speciality	Pathology - Molecular Genetic Pathology
Location	4301 W Markham St # 774, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073045407
Provider Enumeration Date: 04/03/2017
Last Update Date: 09/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9830466200
Enrollment ID: I20220930000994

Medical Identifiers

Medical identifiers for Brannon G Broadfoot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073045407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	E15530 (Arkansas)	Secondary
207ZP0007X	Pathology - Molecular Genetic Pathology	E-15530 (Arkansas)	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. Brannon G Broadfoot allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Brannon G Broadfoot 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
Brannon G Broadfoot, 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000	Brannon G Broadfoot, 4301 W Markham St # 774, Little Rock, AR 72205-7101 Ph: (501) 686-5170

Reviews and Comments

Pathology Doctors in Little Rock, AR

Dr. Larry Nicholas Cossey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10810 Executive Center Dr, Suite 100, Little Rock, AR 72211 Phone: 501-604-2695
Hal Eugene Palmer, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Lile Ct, Suite 101, Little Rock, AR 72205 Phone: 501-225-7711 Fax: 501-225-7108
Dr. Susan Alynn Kemp, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 602 N Monroe St, Little Rock, AR 72205 Phone: 501-414-9810
Neslihan Cetin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Ms. Stephen Eric Sturdivant, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Little Rock, AR 72205 Phone: 501-663-4116 Fax: 501-663-4301
Bradley Fogel, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Dr. Nathan Edward Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 517, Little Rock, AR 72205 Phone: 501-686-5356

Brannon G Broadfoot, - Medicare Pathology in Little Rock, AR