Dr Alberto Broniscer, MD | |
262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 | |
(901) 595-3006 | |
(901) 595-3842 |
Full Name | Dr Alberto Broniscer |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 262 Danny Thomas Place, Ms 0515, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184627382 | NPI | - | NPPES |
009905345 | Medicaid | AL | |
563072 | Medicaid | IA | |
360488800 | Medicaid | MN | |
64056849 | Medicaid | KY | |
2524085 | Medicaid | OH | |
0071961 | Medicaid | MT | |
200400610A | Medicaid | IN | |
00126518 | Medicaid | MS | |
0030341 | Medicaid | NJ | |
205951007 | Medicaid | MO | |
200336060A | Medicaid | KS | |
3496709 | Medicaid | TN | |
104677849 | Medicaid | MI | |
1136395 | Medicaid | LA | |
804030 | Medicaid | AZ | |
100847840A | Medicaid | OK | |
186358377A | Medicaid | GA | |
422400000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 36398 (Tennessee) | Primary |
Entity Name | University Of Pittsburgh Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Mailing Address | Practice Location Address |
---|---|
Dr Alberto Broniscer, MD 262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Dr Alberto Broniscer, MD 262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-3006 |
Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469 | |
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 Phone: 901-448-5950 Fax: 901-448-1691 | |
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005 | |
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 Monroe Ave, Memphis, TN 38103 Phone: 832-774-3282 | |
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994 | |
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646 |