Dr Charlene Bell Broome, MD is a medicare enrolled "Allergy & Immunology" physician in Hattiesburg, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is
6414 U S Highway 98, Ste 80, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 261-1800.
Dr Charlene Bell Broome is licensed to practice in Mississippi (license number 12482) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720007040.
Physician's Profile
| Full Name | Dr Charlene Bell Broome |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 35 Years |
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| Location | 6414 U S Highway 98, Hattiesburg, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charlene Bell Broome attended and graduated from University Of Mississippi School Of Medicine in 1989
NPI Data:
- NPI Number: 1720007040
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496944621
- Enrollment ID: I20110105000111
Medical Identifiers
Medical identifiers for Dr Charlene Bell Broome such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720007040 | NPI | - | NPPES |
| 0119222 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 12482 (Mississippi) | Secondary |
| 207K00000X | Allergy & Immunology | 12482 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hattiesburg Clinic, Pa | 5193706794 | 488 |
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. Dr Charlene Bell Broome allows following entities to bill medicare on her behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Dr Charlene Bell Broome 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 |
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Dr Charlene Bell Broome, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 261-1800 | Dr Charlene Bell Broome, MD
6414 U S Highway 98, Ste 80,
Hattiesburg, MS 39402-7815
Ph: (601) 261-1800 |
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