Dr Devin Reese Broadwater, MD | |
150 Reynoir St, Biloxi, MS 39530-4130 | |
(228) 432-1571 | |
(419) 866-5453 |
Full Name | Dr Devin Reese Broadwater |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 7 Years |
Location | 150 Reynoir St, Biloxi, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609301779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 31052 (Nebraska) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 29686 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health Biloxi | Biloxi, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Pathology Associates | 0446311492 | 3 |
Entity Name | Professional Pathology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174516108 PECOS PAC ID: 0446311492 Enrollment ID: O20081209000337 |
Mailing Address | Practice Location Address |
---|---|
Dr Devin Reese Broadwater, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Dr Devin Reese Broadwater, MD 150 Reynoir St, Biloxi, MS 39530-4130 Ph: (228) 432-1571 |
Dr. Amanda Lynn Kitson, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 122-837-6255 | |
Dr. Brad Elliot Wheeler, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 300 Fisher Street, Biloxi, MS 39534 Phone: 228-376-4472 Fax: 228-376-0148 | |
Edward Shumski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Reynoir St, Biloxi, MS 39530 Phone: 228-432-1571 | |
Grant Williams, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-4466 | |
Dr. Marjorie Grace Teng Sy, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Pathology And Laboratory Medicine Service, Biloxi, MS 39531 Phone: 856-438-5581 | |
Dr. Brian David Arbogast, MD Pathology Medicare: Medicare Enrolled Practice Location: 150 Reynoir St, Biloxi, MS 39530 Phone: 228-432-1571 Fax: 228-436-1340 | |
Eldon Mcclain, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Reynoir St, Biloxi, MS 39530 Phone: 228-432-1571 |