Broderick Daryl King, MD in South Boston, VA

Broderick Daryl King, MD is a medicare enrolled "Internal Medicine" physician in South Boston, Virginia. He went to Meharry Medical College School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Piedmont Access To Health Services Inc and his current practice location is 101 Aubreys Loop, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 517-3879.

Broderick Daryl King is licensed to practice in Virginia (license number 0101234095) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770551889.

Contact Information

	Broderick Daryl King, MD
	101 Aubreys Loop, South Boston, VA 24592-5056
	(434) 517-3879
	(434) 517-3989

Map and Direction

Physician's Profile

Full Name	Broderick Daryl King
Gender	Male
Speciality	Internal Medicine
Experience	28 Years
Location	101 Aubreys Loop, South Boston, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Broderick Daryl King attended and graduated from Meharry Medical College School Of Medicine in 1996

NPI Data:

NPI Number: 1770551889
Provider Enumeration Date: 03/14/2006
Last Update Date: 12/27/2012

Medicare PECOS Information:

PECOS PAC ID: 2264490804
Enrollment ID: I20041229000133

Medical Identifiers

Medical identifiers for Broderick Daryl King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770551889	NPI	-	NPPES
288916	Other	VA	BCBS
005882451	Medicaid	VA
62491	Other	VA	OPTIMA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101234095 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Commonwealth Home Health Inc	South boston, VA	Home health agency
Sentara Home Care Services (halifax)	South boston, VA	Home health agency
Sentara Halifax Regional Hospital	South boston, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Access To Health Services Inc	3476512427	25

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. Broderick Daryl King allows following entities to bill medicare on his behalf.

Entity Name	Dominion Health Medical Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840

Entity Name	Piedmont Access To Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592

Entity Name	Piedmont Access To Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235677634 PECOS PAC ID: 3476512427 Enrollment ID: O20170920001334

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. Broderick Daryl King 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
Broderick Daryl King, MD 101 Aubreys Loop, South Boston, VA 24592-5056 Ph: (434) 517-3879	Broderick Daryl King, MD 101 Aubreys Loop, South Boston, VA 24592-5056 Ph: (434) 517-3879

Reviews and Comments

Internal Medicine Doctors in South Boston, VA

Dr. Amar A Parikh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Boulevard, South Boston, VA 24592 Phone: 434-572-6565 Fax: 434-572-4322
Dr. Fuad Shatila, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2232 Willborn Ave, South Boston, VA 24592 Phone: 434-517-3705
Roger W Browne, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-6946 Fax: 434-572-6675
Dr. Chad Michael Henry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2210 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3827
Richard W Davis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-517-0611 Fax: 434-572-6675
Dr. Sherry Lene Hall, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2202-a Beechmont Road, South Boston, VA 24592 Phone: 434-575-6300 Fax: 434-575-8300
Suresh Gehan Jayatilaka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1129 N Main St Ste G, South Boston, VA 24592 Phone: 434-572-8196 Fax: 434-572-8341

Broderick Daryl King, MD - Medicare Internal Medicine in South Boston, VA