Dr Craig Stanford Broberg, MD in Portland, OR - Medicare Adult Congenital Heart Disease (achd)

Dr Craig Stanford Broberg, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Portland, Oregon. He went to University Of California, San Francisco School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Adult Congenital Heart Disease (achd). He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division Of Cardiology, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8750.

Dr Craig Stanford Broberg is licensed to practice in Oregon (license number MD22559) 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 1508874058.

Contact Information

	Dr Craig Stanford Broberg, MD
	3181 Sw Sam Jackson Pk Rd, Uhn 62 Division Of Cardiology, Portland, OR 97239
	(503) 494-8750
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Craig Stanford Broberg
Gender	Male
Speciality	Adult Congenital Heart Disease (achd)
Experience	28 Years
Location	3181 Sw Sam Jackson Pk Rd, Portland, Oregon
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:

Dr Craig Stanford Broberg attended and graduated from University Of California, San Francisco School Of Medicine in 1996

NPI Data:

NPI Number: 1508874058
Provider Enumeration Date: 08/03/2006
Last Update Date: 07/12/2007

Medicare PECOS Information:

PECOS PAC ID: 7911942313
Enrollment ID: I20050627000467

Medical Identifiers

Medical identifiers for Dr Craig Stanford Broberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508874058	NPI	-	NPPES
287324	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	MD22559 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1479

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 Craig Stanford Broberg allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Craig Stanford Broberg 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
Dr Craig Stanford Broberg, MD 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division Of Cardiology, Portland, OR 97239 Ph: (503) 494-8750	Dr Craig Stanford Broberg, MD 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division Of Cardiology, Portland, OR 97239 Ph: (503) 494-8750

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Craig Stanford Broberg, MD - Medicare Adult Congenital Heart Disease (achd) in Portland, OR